Free FAX Filing Cover Sheet - Idaho

U.S. District & Bankruptcy Court District of Idaho
550 W. Fort St MSC 039 Boise, ID 83724

Cover sheet for facsimile (fax) filings with the Court
Fax: Telephone: From: Address: (208) 334-9362 (208) 334-1361 ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

Telephone: Fax:

The following transmittal consists of _____ pages, including this cover sheet. Title of Document to be filed: District Court: ________________________________________________

Case # ______________

" Civil Case " Criminal Case " Main case " Adversary Proceeding

Bankruptcy Court: Case # ______________ Case Title:

__________________________________________________________________ ________________________________________________

Additional Filing Instructions:

______________________________________________________________________________ Billing Information: (Must be filled out)

" Charge to my Credit Card # __________________________ Exp. Date:__________________ " Visa " Mastercard " American Express " Discovery " Diners Club

Name as it appears on Card: _____________________________ Billing Address:
(Street Address)

_____________________________

For internal use only

Received______

Fees______

Filed______