Form ESR (rev 09/21) Signature Page: Declaration by Self-Represented Individual; Pro Se Electronic Notice for Debtors; Verification of official creditor list -- initial or supplemental (LBF 1007)

=== Form ESR (rev 09/21) Signature Page: Declaration by Self-Represented Individual ===

Form ESR (09/21) PACKAGE CONFIRMATION NUMBER (located on your submission confirmation message screen): UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF ALABAMA DIVISION Name of Debtor(s): Case Number (if known): Chapter: 7 Debtor(s) DECLARATION REGARDING ELECTRONIC FILING (SELF-REPRESENTED INDIVIDUAL) 1. I (we) have completed the following documents using the Court’s Electronic Submission program for self-represented debtors (eSR): Voluntary Petition for Individuals Filing for Bankruptcy (Official Form B101) Chapter 7 Statement of Your Current Monthly Income (Official Form B122A-1) Your Statement of Financial Affairs for Individuals Filing for Bankruptcy (Official Form B107) Statement of Exemption from Presumption of Abuse Under §707(b)(2) (Chapter 7 only) (Official Form B122A-1Supp) Declaration About an Individual Debtor’s Schedules (Official Form B106) Chapter 7 Means Test (Official Form B122A-2) Statement of Intention for Individuals Filing Under Chapter 7 (Official Form B108) 2. Declaration of Petitioner: a. To be completed in all cases. I(we), the undersigned Debtor(s) hereby declare under penalty of perjury that: (1) I(we) have read and understand the above-referenced document(s) being filed electronically (“Voluntary Petition”); (2) the information contained in the petition, statements and schedules, lists, and disclosures is true and correct, to the best of my (our) knowledge and belief; and (3) I (we) have authorized the electronic filing of the Voluntary Petition with the United States Bankruptcy Court for the Southern District of Alabama. I (we) further declare under penalty of perjury that I (we) have completed and signed a Statement About Your Social Security Number(s) (Official Form 121) and provided the signed original(s) to the Clerk. I (we) understand that this DECLARATION Regarding Electronic Filing must be filed with the Clerk in addition to the petition. b. To be checked and applicable only if the petitioner is an individual (or individuals) whose debts are primarily consumer debts and who has (or have) chosen to file under a chapter 7. I (we) am (are) aware that I(we) may proceed under chapter 7, 11, 12, or 13 of Title 11 United States Code; I(we) understand the relief available under each such chapter; I(we) choose to proceed under chapter 7; and I(we) request relief in accordance with chapter 7. I understand that failure to file the signed original of this Declaration is grounds for dismissal of my case pursuant to 11 U.S.C. §§ 707(a) and 105. Date Date Debtor’s Name Debtor’s Signature Joint Debtor’s Name Joint Debtor’s Signature This form is mandatory. It has been approved for use by the United States Bankruptcy Court for the Southern District of Alabama.

=== Pro Se Electronic Notice for Debtors ===

U.S. BANKRUPTCY COURT SOUTHERN DISTRICT OF ALABAMA In re: Debtor(s) Case No. DEBTOR’S ELECTRONIC NOTICING REQUEST (DeBN) CHECK ONLY ONE BOX FOR THE APPLICABLE SECTION BELOW: INITIAL REQUEST: (Check this box to begin receiving notices and orders from the U.S. Bankruptcy Court via email) Pursuant to Bankruptcy Rule 9036, I hereby request receipt of court notices and orders via email, instead of U.S. mail, from the Bankruptcy Noticing Center (BNC) through the U.S. Bankruptcy Court’s Debtor Electronic Bankruptcy Noticing (DeBN) program. I understand that this request is limited to receipt of only notices and orders filed by the U.S. Bankruptcy Court. I will continue to receive documents filed by all other parties, such as the trustee and creditors, via U.S. mail or in person pursuant to court rules. I understand that I will receive electronic notice of any documents filed by the court in any current or future bankruptcy or adversary case from any bankruptcy court district in which I am listed with the same name and address, including cases where I am listed as a creditor. I understand that the first time the BNC receives an email bounce‐back (undeliverable email), my DeBN account will be automatically disabled. I will then receive notices and orders via U.S. mail, and I must file an updated request form if I wish to reactivate my account. I understand that enrollment in DeBN is completely voluntarily, and I may file a request to deactivate my account at any time. UPDATE TO ACCOUNT INFORMATION: (Check this box to make changes to your existing DeBN account) I request the following update(s) to my DeBN account: I have a new email address as indicated below. I filed a new bankruptcy case, and I have an existing DeBN account. Please review my account to ensure my name and address in my account match this new case. I request reactivation of my DeBN account so that I may receive court notices and orders via email, instead of U.S. mail. REQUEST TO DEACTIVATE ELECTRONIC NOTICING: (Check this box to request deactivation of your DeBN account) I request deactivation of my DeBN account. I understand that by deactivating my account, I will begin receiving notices and orders filed by the U.S. Bankruptcy Court via U.S. mail, instead of email. I understand that I will continue to receive electronic notices until such time as the Court has deactivated my account. I am a debtor in this bankruptcy case, or the debtor’s authorized representative if the debtor is a business, and I have read the applicable section check‐marked above and understand and agree to the terms and conditions set forth therein. Neither the U.S. Bankruptcy Court nor the BNC bears any liability for errors resulting from the information I have submitted on this form. Joint debtors who each request enrollment or already have a DeBN account must file separate forms. Signature: _______________________________________________________ Date: _____________________________ Printed Name (and title if not the debtor): __________________________________________________________________ Email Address (type or print clearly): _________________________________________________________________ For more information about the DeBN program, visit the Court’s website at: www.alsb.uscourts.gov.

=== Verification of official creditor list -- initial or supplemental (LBF 1007) ===

ALSB LBF 1007 (12/19) IN RE: Debtor(s) UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF ALABAMA Case No. Chapter: VERIFICATION OF OFFICIAL CREDITOR LIST (INITIAL OR SUPPLEMENTAL) Original Amendment Adding Deleting I hereby certify under penalty of perjury that the master mailing list of creditors attached and/or uploaded to the Electronic Case Filing System is true, correct and complete to the best of my knowledge. I further acknowledge that (1) the accuracy and completeness of the creditor list are the shared responsibility of the debtor and the debtor’s attorney, (2) the court will rely on the creditor list for all mailings, and (3) the various schedules and statements required by the Bankruptcy Rules are not used for mailing purposes. If you are amending a previously-filed list of creditors, attach a list of only the creditor being added or deleted and indicate below only the number of creditors being added or deleted. ______ creditor(s) (or if amended, number of creditors added), as shown on attached list ______ creditor(s) to be deleted, as shown on attached list Debtor Signature Joint Debtor Signature Signature of Attorney Date [Check if applicable] Creditors with foreign addresses included ALSB LBF 1007 (12/19) UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF ALABAMA OFFICIAL CREDITOR LIST GUIDELINES The Official Creditor List must be provided to the court in electronic format and meet the requirements below: • The name and address of each creditor must be five lines or fewer • Each line may contain no more than 40 characters including spaces • Names and addresses should be left justified (no leading spaces) with only one column of creditors • If attention lines are used, they should appear on the second line of the address • City, state, and ZIP code must be on the last line • All states must be two-letter abbreviations • If a nine-digit ZIP code is used, a hyphen must separate the first five digits from the last four digits • DO NOT include the following names on the mailing list because they will be retrieved automatically by the court’s computer system: debtor, joint debtor, attorney for debtor(s), Bankruptcy Administrator Attorney Filers Most bankruptcy preparation software packages can save the creditor list electronically in the proper format. Please check with your software company to see if you have this option. Filers without an Attorney (Pro Se Debtors) Filers without an attorney may submit a list of creditors to the clerk’s office with the petition. Verification of Official Creditor List (LBF 1007) The initial or supplemental of an official creditor list shall be accompanied by a Verification of Official Creditor List in the format provided by the Clerk. Amendments Amendments to the Official Creditor List shall contain only names and addresses to be added to or deleted from the Official Creditor List and must comply with the requirements above.