Free UNITED STATES BANKRUPTCY COURT - Florida

UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF FLORIDA REQUEST BY PRO SE DEBTOR TO STOP ELECTRONIC NOTIFICATION

PLEASE TAKE NOTICE that If you are a debtor who filed a bankruptcy case without representation (pro se debtor), and elected to receive electronic notice by e-mail, you may stop electronic notice and resume United States Mail notification. Separate requests to stop electronic notification must be completed for each debtor in a joint case (husband and wife). To stop e-mail notification, please provide the information requested below and return this form to the address stated. Name: Case Number: Last four digits of SSN: Address: _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ Home Telephone Number: Cell Phone Number: Internet E-Mail Address: _______________________________________________ _______________________________________________ _______________________________________________

________________________ Date

________________________________________ Signature of Pro Se Debtor

Return the completed form to: United States Bankruptcy Court Middle District of Florida Attn: Christine Baker 135 West Central Boulevard, Suite 950 Orlando, FL 32801
Revised: March 2009