Before you file, go the extra mile! Many forms on this page are fillable portable document format (PDF) files, in that they can be downloaded and modified to include information about your case. If you plan to electronically file a fillable form, please review your flattened* and completed form by emailing it to yourself first. If the form is complete when viewed through your email, then it should appear the same way when you electronically file the PDF in CM/ECF or through email (for self-represented filers).
Paper versions of forms may be obtained in person at the Clerk's Office, either from the Intake Clerk or through the public access computer terminals. Standard per-page copy cost rates apply as indicated in the Bankruptcy Miscellaneous Fee Schedule issued in accordance with 28 U.S.C. § 1930 and the Electronic Public Access Fee Schedule. Advanced payment is required. Consult the Fees page for acceptable forms of payment. Other public entities, such as public library systems, also offer access to computers/internet and allow printing from websites for a small fee.
*Instructions concerning how to “flatten” a PDF are available on the web from your PDF reader/editor software provider.
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Administrative Forms
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Form Description
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| A1 | Transcript Order Form | |
| A2 | Audio File Request Form | |
| A8 | Copy Work Request | |
| A9 | Application for Admission to Registry of Mediators Qualified Under Florida Northern Mortgage Modification Mediation Program | |
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Archives Request
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Instructional Documents
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Form Description
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Instructions for Creating a List of Creditors
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| 3-Inst | ECF Group Permissions Explanations | |
| 4-Inst | Proposed Order Guidelines | |
| 5-Inst | Certificate of Service - Instructions & Sample | |
| 6-Inst | Style Guide - Florida Northern District | |
Local forms are created by and required (as applicable) only in the U.S. Bankruptcy Court for the Northern District of Florida.
Chapter-specific forms are preceded by the chapter number in which they may be used. All other forms are not chapter specific and may be used in any chapter as applicable (e.g., LF-1).
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Local Forms (any chapter)
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Form Description
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Debtor’s Statement of Assistance (pro se only)
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Corporate Ownership Statement
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| LF-3 | Motion for Referral to Mortgage Modification Mediation (Rev. 07/18) | |
| LF-3-PS | Motion for Referral to Mortgage Modification Mediation (Pro se) (Rev. 07/18) | |
| LF-4 | Certificate of Service | |
| LF-5 | Exhibit Tag/Cover Sheet | |
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Exhibit List
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| LF-7 | Statement of Need for Emergency Hearing | |
| LF-8 | Motion to Extend or Impose Stay | |
| LF-9 | Affidavit in Support of Motion to Extend or Impose Stay | |
| LF-10 | Negative Notice Legend | |
| LF-11 | Notice of Change of Address for Creditor | |
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Preferred Address Request for a Case Under 342(e)
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Negative Notice Legend for Objections to Claim (NEW 07/25/2023)
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Affidavit in Support of Motion for Waiver of Requirement to Take Financial Management Course
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Statement of No Employment Income
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Notice of Change of Address of Debtor
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Motion for Waiver of Requirement to Comply with Credit Counseling Requirement
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Request for Notices by Creditor (not represented by an attorney)
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Notice of Appearance and Request for Notice (by attorney)
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Notice of Appearance of Attorney as Supervising Attorney per AO 24-004
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Application to Approve Student as Student Lawyer
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Pro se Debtor’s 1019 Statement of No Change
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Verification of Creditor Mailing Matrix
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Matrix/List of Creditors
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| LF-37 | Motion to Change Hearing Venue of Panama City Division Case | |
| LF-37-PS | Motion to Change Hearing Venue of Panama City Division Case (Pro Se) | |
| LF-38 | Report & Notice of Intention to Sell Property of the Estate | |
| LF-39 | Notice of Hearing on Motion to Sell Property Free and Clear, and Report and Notice of Intent to Sell | |
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Chapter 7
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Form Description
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Report & Notice of Intention to Abandon Property of the Estate
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LF 7-8
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LF 7-9
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Chapter 11
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Form Description
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Ballot Tabulation
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| LF 11-6 | Cover Sheet to an Application for Compensation in a Chapter 11 Case | |
| LF 11-13 | Chapter 11 Debtor’s Pre-Confirmation Statement | |
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Individual Debtor(s)’ Motion for Entry of Discharge
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Motion to Administratively Close Individual Chapter 11 Case
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Statement/Certification Regarding Requirements for Discharge in a Chapter 11 Case
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| UST Forms | US Trustee Region 21 Forms Page |
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Chapter 12
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Form Description
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Summary of Operations - Family Farmer (.rtf)
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Monthly Cash Receipts & Disbursements
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| LF 12-13 | Chapter 12 Debtor's Pre-Confirmation Statement | |
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Statement/Certification Regarding Requirements for Discharge in a Chapter 12 Case
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Chapter 13
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Form Description
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| LF 13-1 | Optional Plan Language | |
| LF 13-13 | Chapter 13 Debtor's Pre-Confirmation Statement | |
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Chapter 13 Plan (Eff. 12/1/17) (.pdf)
NOTE: The Chapter 13 Plan form on this page may appear slightly different than forms submitted by filers who use petition preparation software to create the document. The software vendors have been authorized to conditionally "collapse" blank tables in sections of the form which are not applicable (i.e., the filer checks "None"). |
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| LF 13-21 | Chapter 13 Plan (Eff. 12/1/17) (.rtf) NOTE: Filers are authorized to remove blank tables in sections of the form which are not applicable (i.e., where the filer checks "None") to reduced the number of pages in the document and to save noticing costs. |
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Annual Statement
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Motion to Modify Plan re: Annual Statement
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Supplement to Schedules I & J
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Agreed Motion to Abate
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Debtor’s Election to Abate
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Debtor’s Election to Use a Portion of Tax Refund
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Debtor’s Notice of Plan Payment Change Pursuant to Creditor’s Notice of Payment Change on Principal Mortgage
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Motion to Deem Mortgage Current
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| LF 13-34 | Secured Creditor's Notice of Payment Change | |
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Statement/Certification Regarding Requirements for Discharge in a Chapter 13 Case
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Notice of Scheduled Mortgage Mediation
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The Local Sample Orders below are provided for your convenience. Highlighted areas in each document are required information and should be contained in your proposed order whether or not you choose to use the sample provided.
| LSO-1 | Order Granting Motion to Determine Secured Status & Strip Junior Lien on Debtor's Principal Residence | |
| LSO-2 | Order Granting Motion for Relief from Stay | |
| LSO-3 | Order Sustaining Debtor's Objection to Claim | |
| LSO-4 | Order Granting Consent Motion to Extend Pretrial Deadlines | |
| LSO-5 | Order Granting Motion to Avoid Lien | |
| LSO-6 | Order Granting Motion to Sell Property | |
| LSO-7 | Order Granting Motion for Final Decree (Ch 11) | |
| LSO-8 | Order Granting Motion to Administratively Close Individual Chapter 11 Case | |
| LSO-9 | Order Granting Motion for Entry of Chapter 11 Discharge | |
| LSO-11 | Order of Deposit and Investment | |
| LSO-12 | Order Granting Motion to Change Hearing Venue of Panama City Division Case | |
| LSO-13 | Order Granting Motion to Modify Plan Under CARES Act |
The following Local Form Orders are entered by the Clerk’s Office in accordance with Standing Order #5 and are provided here for your convenience due to the length of and complexity of each.
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Order Establishing Duties of the Debtor and Chapter 13 Trustee, Adequate Protection of Secured Claims, Allowance of Administrative Expenses, and Confirmation Procedures (orddo)
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Order Granting Motion for Referral to Mortgage Modification Mediation (orrmmm) (Rev. 07/25/18)
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Official Forms for Filing Bankruptcy and/or Other National Forms
- File an Online Proof of Claim
- 342(b) Statement - Read Before Filing: B 2010A
This link will direct you to the Northern District of Florida National Forms Explanation Page which provides guidance to locate the form(s) on the U.S. Court's National Forms website.
You may CLICK HERE to go directly to the USCourts.gov Bankruptcy Forms Page for PDF versions of the official bankruptcy forms, including the petition documents and the Proof of Claim form.
Forms applicable to your case and maintained by the United States Trustee's Office may be found at https://www.justice.gov/forms