United States Bankruptcy Court
Western District of Louisiana
APPLICATION FOR SEARCH OF BANKRUPTCY RECORDS
Name of individual or business that is the subject
of the search:
Social Security No. or Employer Tax I.D. No. of
Please search your records for the following information regarding the individual or business named above:
pending or closed bankruptcy cases in this district;
pending or closed adversary proceedings;
judgments/evidence of satisfaction of judgments; and
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.]
Case filed on ____________________________.
Closed on ____________________________.
Discharge granted on ____________________________.
Subject is a party to the following proceeding:
____________________________________________ v. __________________________________________________
Adversary Proceeding Number ________________________________, filed on ________________________________.
Closed on ___________________________________________.
Dismissed on ______________________________________________________________________
Final Judgment entered on ____________________________________________________________
Case Number of Related Bankruptcy Case _______________________________________________________________.
_ J. Barry