United States Bankruptcy Court

District of South Dakota

REQUEST TO RECEIVE ELECTRONIC NOTICE

Check One: □ Debtor □ Creditor or Other Party in Interest

Each debtor in a joint case must

sign and file a separate request.
Name(s) of Debtor(s):

Bankruptcy Case Number:
Your Full Name (print or type):
For a Creditor or Other Party in Interest Only

Name of Business or Organization, if any:

Your Title with Business or Organization, if any:

Mailing Address (street or Post Office box):

City:
State:	ZIP Code:
Daytime Telephone Number:
E-mail Address:

I request to receive electronic notice and consent to service by electronic means in this bankruptcy case when permitted under applicable rules of procedure and the Court's Electronic Case Filing Administrative Procedures.

Date: ___________________	Signature: ___________________________________________

File the Request: If the party making this request, including a debtor, is represented by an attorney, the attorney should electronically file the request using CM/ECF. Please see the Court's website at www.sdb.uscourts.gov for more information about CM/ECF. If the party making the request, including a debtor, is not represented by an attorney, the party shall mail or hand-deliver the dated and signed original request to:

Bankruptcy Clerk

400 South Phillips Avenue, Room 104

Sioux Falls, SD 57104-6851