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Forms

Administrative Forms
Administrative Forms
Form Description
 
Credit Card One Time Authorization
A6   Application for Filing Agent Accounts in ECF
A7   Application for Login and Password to ECF-Child Support Creditor
A8   Copy Work Request
A9   Application for Admission to Registry of Mediators Qualified Under Florida Northern Mortgage Modification Mediation Program
 
Archives Request

Instructional Documents
Instructional Documents
Form Description
 
Instructions for creating a Creditor Mailing Matrix
3-Inst   ECF Group Permissions Explanations
4-Inst   Proposed Orders Guidelines
5-Inst   Certificate of Service - Instructions & Sample

Local Forms
Forms 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).
 
Local Forms (any chapter)
Form Description
 
Debtor’s Statement of Assistance (pro se only)
 
Corporate Ownership Statement
LF-3   Motion for Referral to Mortgage Modification Mediation
LF-3-PS   Motion for Referral to Mortgage Modification Mediation (Pro se)
LF-4   Certificate of Service
LF-5   Exhibit Tag/Cover Sheet
 
Exhibit and Witness List
LF-7   Statement of Need for Emergency Hearing (Rev. 12/10/15)
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
 
Preferred Address Request for a Case Under 342(e)
 
Statement of No Employer Income
 
Notice of Change of Address of Debtor
 
Motion for Waiver of Requirement to Comply with Credit Counseling Requirement
 
Request for Notices by Creditor (not represented by an attorney)
 
Notice of Appearance and Request for Notice (by attorney)
 
Motion for Protective Order to Restrict Access and Allow for Redaction of Information
 
Pro se Debtor’s 1019 Statement of No Change
 
Verification of Creditor Mailing Matrix
 
Chapter 7
 
Form Description
 
Report & Notice of Trustee’s Intention to Abandon Property of the Estate
 
Report & Notice of Intention to Sell Property of the Estate
 
Certificate/Affidavit for Adding Creditors to Schedules in a Closed Case
 
Chapter 11
 
Form Description
 
Ballot Tabulation
11-6   Cover Sheet to an Application for Compensation in a Chapter 11 Case
 
Individual Debtor(s)’ Motion for Entry of Discharge
 
Statement/Certification Regarding Requirements for Discharge in a Chapter 11 Case
UST Forms   US Trustee Region 21 Forms Page
 
Chapter 12 
 
Form Description
 
Summary of Operations - Family Farmer
 
Monthly Cash Receipts & Disbursements
 
Statement/Certification Regarding Requirements for Discharge in a Chapter 12 Case
 
Chapter 13 
 
Form Description
13-1   Optional Plan Language
13-13   Chapter 13 Debtor's Pre-Confirmation Statement
 
Form Plan (Eff. 12/1/08)
13-21   Chapter 13 Plan (Eff. 12/1/17) (.pdf)
13-21   Chapter 13 Plan (Eff. 12/1/17) (.rtf)
 
Annual Statement
 
Motion to Modify Plan re: Annual Statement
 
Supplement to Schedules I & J
 
Agreed Motion to Abate
 
Debtor’s Election to Abate
 
Debtor’s Election to Use a Portion of Tax Refund
 
Debtor’s Notice of Plan Payment Change Pursuant to Creditor’s Notice of Payment Change on Principal Mortgage
 
Motion to Deem Mortgage Current
13-34   Secured Creditor's Notice of Payment Change
 
Statement/Certification Regarding Requirements for Discharge in a Chapter 13 Case
 
Notice of Scheduled Mortgage Mediation

Sample and Form Orders
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-11   Order of Deposit and Investment

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.
 
 
Order Establishing Duties of the Debtor and Chapter 13 Trustee, Adequate Protection of Secured Claims, Allowance of Administrative Expenses, and Confirmation Procedures (orddo)
 
Order Granting Motion for Referral to Mortgage Modification Mediation (orrmmm) (Rev. 10/07/15)

Official Forms for Filing Bankruptcy and/or Other National Forms
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.
Disclaimer
Various links listed on this and other pages are maintained by other public and private organizations. These links and pointers are provided for the user's convenience. The U. S. Bankruptcy Court does not control or guarantee the accuracy, relevance, timeliness, or completeness of this outside information; nor does it control or guarantee the on-going availability, maintenance, or security of these Internet sites. Further, the inclusion of links or pointers to particular items in hypertext is not intended to endorse any views expressed, or products or services offered on these outside sites, or the organizations sponsoring the sites.