CACB — **copy Request Form**

Source: https://www.cacb.uscourts.gov/sites/cacb/files/documents/forms/CACBCopyRequestForm-Fillable.pdf

UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA

COPY REQUEST FORM

Requesting Party Name: _______________________________ Date: ____________________ Address: ___________________________________________________ ___________________________________________________

Email Address: ______________________________________________

Telephone Number: __________________________________________

Case Number: _______________________________________________

Case Name: ________________________________________________

Documents to be copied: Number of Copies ($0.50 per Certification Document No. Document Title Page) ($12.00 each)

Number of Pages to be Copied: ______0 x $ 0.50 = $______________0.00 0 $ 0.00Number of Documents to be Certified: ______ x $12.00 = ______________ $ 0.00 Order Total = ___ ____________

Pay.gov Tracking ID#: ______________________

For payments made via Pay.gov, transactions take approximately 2-3 business days to process. Please allow approximately 3-5 business days from payment to receipt of service. Contact the Help Desk at (855) 460-9641 for more information.

All copy request fees must be paid in advance. Personal Checks and Cash ARE NOT accepted.

Paper copies to be returned by U.S. Mail Please Note: For returns by mail, please include a self-addressed stamped envelope Paper copies to be picked up at the Clerk's Office with sufficient postage affixed.

12/1/2023 CACB Copy Request