Free frcfilerequest - Virginia

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA
[Division] Division

REQUEST FOR FILE FROM NATIONAL ARCHIVES AND RECORDS ADMINISTRATION Please complete this form. You will be advised, in writing (or by telephone if you request), by this office when the file has been received from the National Archives and Records Administration located in Philadelphia, Pennsylvania. The cost is $45.00 per case [or adversary] requested. Make check payable to "Clerk, U.S. Bankruptcy Court." This fee must be paid before the file(s) will be requested.

[Joint Debtor Name] [Debtor Name] DEBTOR __________________________________________________________________
[Case Number] [Date Case Closed - MM/YY] CASE NUMBER _________________ DATE CLOSED (if known) __________________ [Name] NAME OF REQUESTING PARTY ____________________________________________ [Address Line 1] ADDRESS ___________________________________________________________ [Address Line 2] _____________________________________________________________________ [Area Code & Telephone Number] PHONE NUMBER DURING BUSINESS HOURS __________________________ (If you wish to be called when the file is received.)

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For Clerk's Office Use Only: Accession No. __________________ Location No. Box No. __________________ __________________ Date Ordered ___________________________ By Whom ___________________________ Electronic _______ Manual ________

Date File Received __________________ Date File Returned __________________
[ver. 11/01/03]

Date Requestor Contacted _________________