Free Request For Photocopies - Maine

U. S. Bankruptcy Court P.O. Box 17575 Portland, ME 04112-8575 TEL: (207) 780-3482 FAX: (207) 780-3679 REQUEST FOR PHOTOCOPIES

U. S. Bankruptcy Court P.O. Box 1109 Bangor, ME 04402 TEL: (207) 945-0348 FAX: (207) 945-0304

Please complete this form and fax or mail to the U.S. Bankruptcy Court. This form may be copied. Copies will be made within 48 hours of receipt of request. The Clerk's Office will call you to let you know the cost of your copies. Larger requests may take longer than 48 hours to process. Copy fees must be paid within 10 days of completion of request. The cost for photocopying is $.50 per page. We do not accept personal checks. If you are paying with a firm check, please make it payable to Clerk, U.S. Bankruptcy Court and submit a completed copy of this form with payment.

DEBTOR'S NAME: _______________________ CASE# ________________ DOCUMENTS REQUESTED: ______________________________________ ______________________________________________________________ ______________________________________________________________ REQUESTED BY: Name: _____________________ Phone # ______________ Address: _________________________________________ DATE REQUESTED: ________________________

For Court Use Only: Date Completed: __________ Total Cost $ __________ # of Pages: __________

Date Called: _________________ By: __________________________________________