Free Application for Search of Records - New Jersey

UNITED STATES BANKRUPTCY COURT District of New Jersey

APPLICATION FOR SEARCH OF BANKRUPTCY RECORDS
Name of individual or business that is the subject of the search: (Please submit a separate application for each name/case
number searched)

Social Security No. or Employer I.D. No. of Subject:

Please search your records for the following information regarding the individual or business named above: G Pending or closed bankruptcy cases in this district; G Pending or closed Adversary Proceedings in this district; G Judgements/evidence of satisfaction of judgments, and G Other [describe briefly] Please search for the period of ______________________________ to ______________________________. A fee of $26.00 is charged for each name/item searched. Payment must be made by attorney/business check, certified check or money order. Name, address and telephone number of the person requesting the search:

CERTIFICATE OF SEARCH
The undersigned clerk hereby certifies the following results of a diligent search of the records of this Court: [Check/Circle only the items for which a search was requested and a fee paid.] A. Bankruptcy cases: G None found G Pending or closed on (please circle one): __________________________________________ Case no.: ______________________ Voluntary/involuntary (please circle one) G B. Case filed on: ____________________________

Discharge granted on: ___________________________________________________

Adversary Proceedings: G None found G Pending or closed on (please circle one) :__________________________________________ Subject is/was a party to the following proceedings: ___________________________________V. _____________________________________________ Adversary no.: ______________________________Filed on: _________________________________ Case no. of related bankruptcy: _________________________________________________________ Dismissed on ____________________________ Final judgment entered on: __________________

Date: _________________

By: _______________________________________ Deputy Clerk