Acknowledgment of Responsibility and Registration Form Limited Filer (rev. 09/14/23)

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Local Bankruptcy Forms

Acknowledgment_of_Responsibility_and_Registration_Form_Limited_Filer_(LF-96).pdf

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Form Number:

LF-96

Upcoming

Pending Fed. R. Bankr. P. and Official Forms Amendments

Privacy Requirements for Filed Documents

To protect the privacy of individuals, certain personal data identifiers as listed below must be redacted before a document is filed with the Court (see Fed. R. Bankr. P. 9037). The Court will not review filed documents to ensure personal data identifiers are redacted.

Social Security/ Tax Identification Numbers

Names of Minor Children

Dates of Birth

Financial Account Numbers

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Forms Overview

B = Official/Director's Bankruptcy Forms

LF = Local Bankruptcy Form

MMM = Mortgage Modification Mediation Form

SLP = Student Loan Program

United States Bankruptcy Court

Southern District of Florida

Erik P. Kimball, Chief Judge
Joseph Falzone, Clerk of Court

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Acknowledgment of Responsibility and Registration Form Limited Filer (rev. 09/14/23)

Social Security/ Tax Identification Numbers

Names of Minor Children

Dates of Birth

Financial Account Numbers