CACB — ELECTRONIC NOTICING (DeBN) (F9036-1.1DeBNDEACTIVATE)

Source: https://www.cacb.uscourts.gov/sites/cacb/files/documents/forms/F9036-1.1DeBNDEACTIVATE.pdf

UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA

In re: CASE NO.:

DEBTOR’S REQUEST TO DEACTIVATE ELECTRONIC NOTICING (DeBN) Debtor(s).

Debtor Electronic Bankruptcy Noticing (DeBN) is a voluntary program that enables a debtor to receive by email the orders and court-generated notices normally sent by U.S. mail to a mailing address. To deactivate electronic noticing, a debtor who has an active DeBN account must complete and file this form with the court.

DEACTIVATION REQUEST

I request deactivation of my electronic noticing (DeBN) account.

DEBTOR’S NAME AND EMAIL ADDRESS

My name is: My email address is: (CAPITAL letters only) Confirm email address: (CAPITAL letters only) My DeBN account number is (located in the subject line of all DeBN emails):

Select one: I am the Debtor in this bankruptcy case The Debtor in this bankruptcy case is a corporation, partnership, or other legal entity, and I am the authorized representative

DEBTOR’S SIGNATURE

1. I understand that the court will continue to deliver notices to my email address until my account is deactivated.

2. I understand that after my account is deactivated, the court will deliver orders and court-generated notices to my mailing

address that is on file with the court instead of to my email address.

I have read and understand the information set forth above and I agree to the terms and conditions of deactivation of Debtor Electronic Bankruptcy Noticing (DeBN) account. I no longer request delivery of orders and court-generated notices to my email address.

Date: Signature:

This form is mandatory. It has been approved for use in the United States Bankruptcy Court for the Central District of California.

December 2014 F 9036-1.1.DeBN.DEACTIVATE