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Local Forms

The Eastern District has a number of local forms that supplement the Official and Director's forms. These locally developed forms, some of which are fillable forms are published below.  To use the forms labeled as "fillable," you must use the "Print Form" option at the bottom of the page prior to uploading. Failure to do so will result in an unreadable form.

BLANK Order Form Fillable

Certificate of Service Regarding Summons in an Adversary Proceeding Fillable

Change of Address - Creditor (updated as of 8/24/2015) Fillable

Change of Address - Debtor (updated as of 8/29/2013) Fillable

Change of Name - Debtor Fillable

Corporate Ownership Statement - Bankruptcy Case Fillable

Corporate Ownership Statement - Adversary Case Fillable

Disclosure of Compensation of Attorney for Debtor Fillable 

Mediator's Final Report - Mortgage Modification

Model Chapter 13 Plan (updated as of 1/20/2011) Word / PDF

Notice and Request to Modify Chapter 13 Plan Fillable

Proof of Claim Fillable

Reaffirmation Agreement Information Packet - Debtor Information Packet

Statement of Disclosure

Statement of Social Security Number- Local Form 21 Fillable

Sample Pleadings

Negative Notice of a Debtor's Motion to Continue the Automatic Stay (Updated 3/25/2013) Fillable

Stipulation to Modify Stay to Obtain Final Judgment of Dissolution of Marriage Fillable

Order Modifying Stay to Obtain Final Judgment of Dissolution of Marriage Fillable

Order Approving Chapter 11 Disclosure Statement and Setting Deadlines for Confirmation

Motion to File Documents Under Seal

Order Granting Motion to File Under Seal