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B132 (Form 132) (08/07)

United States Bankruptcy Court
_______________ District Of _______________

APPLICATION FOR SEARCH OF BANKRUPTCY RECORDS
Name of individual or business that is the subject of the search: Last four digits of Social-Security No. or Individual Taxpayer-Identification No. (ITIN) of Subject: Employer Tax-Identification No. (EIN) (if any) 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; G judgments/evidence of satisfaction of judgments; and G other [describe briefly] Please search for the period from _____________________________to ________________________________. A fee of $26.00 is charged for each name or item searched. Payment by check or money order must be enclosed. Please do not send cash through the mail. Name, address, and phone 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 the court: [Check only the items for which a search was requested and a fee paid.] A. Bankruptcy Cases: G None found. G Case filed on ____________________(date). G Voluntary G Involuntary G Pending G Closed on ___________________(date). G Discharge granted on __________________________(date). B. Adversary Proceedings: G None found. G Subject is a party to the following proceeding: _______________________________ (Plaintiff) v. __________________________ ((Defendant) Adversary Proceeding No. ________________, filed on ___________________(date). G Pending G Closed on ___________________(date). Disposition: G Dismissed on __________________________________ (date) G Final Judgment entered on ________________________ (date) Case Number of Related Bankruptcy Case ______________________

______________________
Clerk of the Bankruptcy Court

Date: __________

By: _______________________
Deputy Clerk