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National Archives Trust Fund Board NATF Form 90 (09-2005)

OMB Control No. 3095-0063 Expires 11-30-2008

1. LOCATION

NATIONAL ARCHIVES AND RECORDS ADMINISTRATION ORDER FOR COPIES OF BANKRUPTCY CASES 2. AREAS SERVED
Delaware, Maryland, Pennsylvania, Virginia, West Virginia

NARA ­ Mid Atlantic Region 14700 Townsend Road Philadelphia, PA 19154 Fax: 215-305-2039 or 215-305-2038
3. SELECT COPY PACKAGE (select only one)

Copy Package Not Certified


Copy Package Certified


Pre-Selected Documents -- $25.00 Entire Case File -- $70.00 (150 page maximum) Docket Sheet -- $25.00

(Certification for fax copies is not available) Pre-Selected Documents Certified -- $40.00 Entire Case File Certified -- $85.00 Docket Sheet -- $40.00

4. CASE INFORMATION (obtain from the court in which the case was filed)
COURT LOCATION (city & state) DEBTOR NAME(S) CASE NUMBER

TRANSFER NUMBER

BOX NUMBER

LOCATION NUMBER

5. DELIVERY METHOD (select only one)


Fax - 25 page limit



Mail



FedEx (additional $25.00)



Charge Fed Ex Account -#

6. YOUR DELIVERY INFORMATION MAIL C OPIES TO:
NAME ADDRESS CITY STATE AND ZIP DAYTIME TELEPHONE NUMBER DAYTIME TELEPHONE NUMBER APT. # / SUITE # ATTENTION FAX NUMBER

FAX COPIES TO:

7. YOUR PAYMENT INFORMATION

Credit Card
CARD TYPE



VISA



MasterCard



American Express



Discover
EXPIRATION DATE

Check or Money Order Make your check or money order payable to: National Archives Trust Fund (NATF) Mail your request with payment to the address shown in block 1 at the top of this page.

ACCOUNTNUMBER NAME ON CARD

SIGNATURE or THREE DIGIT SECURITY CODE (on back of charge card). Order can not be processed if one of these two items is not provided.

NARA USE ONLY
SEARCHER DATE PAYMENT:

Paid
REMARKS

Review ­ Date:

Time:

Check #