United States Bankruptcy Court
Western District of Louisiana
APPLICATION FOR SEARCH OF BANKRUPTCY RECORDS
Name of individual or business that is the subject Social Security No. or Employer Tax I.D. No. of
of the search: Subject:
Please search your records for the following information regarding the individual or business named above:
pend ing or closed bankruptcy cases in this district;
pending o r closed ad versary proc eedings;
judgments/evidence of satisfaction of judgments; and
other [d escribe 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 m ail.
Name, add ress, 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:
1. None found.
2. Case filed on ____________________________.
Pending Closed on ____________________________.
Discharge granted on ____________________________.
B. Adversary Proceedings:
1. None found.
2. Subject is a party to the following proceeding:
____________________________________________ v. __________________________________________________
Adversary Proceeding Number ________________________________, filed on ________________________________.
Pending Closed on ___________________________________________.
Disposition: Dismissed on ______________________________________________________________________
Final Judgment entered on ____________________________________________________________
Case Number of Related Bankruptcy Case _______________________________________________________________.
_ J. Barry Dunford
Clerk of the Bankruptcy Court
____________________________________ By: __________________________________________________________
Date Deputy Clerk