Forms

Administrative Forms

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Administrative Forms		Form Description
A1		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
NATF 90		Archives Request

Instructional Documents

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Instructional Documents		Form Description
1-Inst		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
6-Inst		Style Guide - Florida Northern District

Local Forms

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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
LF-1		Debtor’s Statement of Assistance (pro se only)
LF-2		Corporate Ownership Statement
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
LF-6		Exhibit and Witness List
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
LF-12		Preferred Address Request for a Case Under 342(e)
LF-16		Statement of No Employer Income
LF-17		Notice of Change of Address of Debtor
LF-18		Motion for Waiver of Requirement to Comply with Credit Counseling Requirement
LF-19		Request for Notices by Creditor (not represented by an attorney)
LF-20		Notice of Appearance and Request for Notice (by attorney)
LF-32		Motion for Protective Order to Restrict Access and Allow for Redaction of Information
LF-35		Pro se Debtor’s 1019 Statement of No Change
LF-36		Verification of Creditor Mailing Matrix
LF-37 NEW		Motion to Change Hearing Venue of Panama City Division Case
LF-37-PS NEW		Motion to Change Hearing Venue of Panama City Division Case (Pro Se)

 

Chapter 7		Form Description
7-7		Report & Notice of Trustee’s Intention to Abandon Property of the Estate
7-8		Report & Notice of Intention to Sell Property of the Estate
7-15		Certificate and Affidavit for Adding Creditors to Schedules in a Closed Case

 

Chapter 11		Form Description
11-5		Ballot Tabulation
11-6		Cover Sheet to an Application for Compensation in a Chapter 11 Case
11-26		Individual Debtor(s)’ Motion for Entry of Discharge
11-37		Statement/Certification Regarding Requirements for Discharge in a Chapter 11 Case
UST Forms		US Trustee Region 21 Forms Page

 

Chapter 12		Form Description
12-9		Summary of Operations - Family Farmer
12-10		Monthly Cash Receipts & Disbursements
12-37		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
13-21		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").
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.
13-22		Annual Statement
13-23		Motion to Modify Plan re: Annual Statement
13-27		Supplement to Schedules I & J
13-28		Agreed Motion to Abate
13-29		Debtor’s Election to Abate
13-30		Debtor’s Election to Use a Portion of Tax Refund
13-31		Debtor’s Notice of Plan Payment Change Pursuant to Creditor’s Notice of Payment Change on Principal Mortgage
13-33		Motion to Deem Mortgage Current
13-34		Secured Creditor's Notice of Payment Change
13-37		Statement/Certification Regarding Requirements for Discharge in a Chapter 13 Case
13-39		Notice of Scheduled Mortgage Mediation

Sample and Form Orders

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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-11		Order of Deposit and Investment
LSO-12		Order Granting Motion to Change Hearing Venue of Panama City Division Case

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.
 

LFO-1		Order Establishing Duties of the Debtor and Chapter 13 Trustee, Adequate Protection of Secured Claims, Allowance of Administrative Expenses, and Confirmation Procedures (orddo)
LFO-2		Order Granting Motion for Referral to Mortgage Modification Mediation (orrmmm) (Rev. 07/25/18)

Official Forms for Filing Bankruptcy and/or Other National Forms

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• 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.