(Attorney Name)

(Firm Name)

(Address)

(City, State, Zip)

Telephone: ( )

Fax: ( )

Email: ( )

Attorney for: ( )	AK LBF 37B

[12/18]

UNITED STATES BANKRUPTCY COURT

DISTRICT OF ALASKA

In re:

(Debtor's Name),

Debtor(s).

Case No. (Case Number)

Chapter (Chapter Number)

Declaration Re: Electronic Filing

[Corporation/Partnership/LLC]

Part I - Declaration of Debtor

I, ______________________________, the ____________________________of the debtor herein, hereby declare under penalty of perjury that the information given or to be given its attorney and the information provided in the following electronically-filed documents and any amendments thereto, is or will be true and correct: petition; statements; schedules; Verification of Creditor Matrix (AK LBF 40); any notice of address change; any report required under Federal Rule of Bankruptcy Procedure 1019(5); chapter 11, 12 or 13 plan (if this is a case under such chapter); and any chapter 11 disclosure statement (hereinafter referred to as the "Documents"). Debtor consents to its attorney sending its Documents to the United States Bankruptcy Court electronically. I understand that this Declaration re: Electronic Filing is to be filed with the Clerk of Court not later than 14 days following the date the petition was electronically filed. I understand that failure to file the signed original of this Declaration may result in the dismissal of the case after a hearing on shortened time of no less than seven days' notice.

I declare under penalty of perjury that the information provided in this petition is true and correct, and that I have been authorized to file this petition on behalf of the debtor. The debtor requests relief in accordance with the chapter specified in this petition.

Dated:_____________________________

Signed: _______________________________

(Debtor's Authorized Representative)

Part II - Declaration of Attorney

I declare under penalty of perjury that the debtor's authorized representative signed this form before I electronically submitted the Documents (as that term is defined above). Before filing, I will give the debtor a copy of all forms and information to be filed with the United States Bankruptcy Court, and have followed all other requirements of electronic filing promulgated by PACER. I further declare that I have examined or will examine the above Documents and any amendments thereto, and, to the best of my knowledge and belief, they are or will be true, correct, and complete. This declaration is based on all information of which I have knowledge.

Dated:_____________________________

Signed: ___________________________________

Attorney for Debtor