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Vendor Information/TIN Certification

DO NOT FILE THIS DOCUMENT THROUGH CM/ECF
Please complete the AO 213 form below. Print, sign and return the form via email or mail to:

U.S. Bankruptcy Court
401 West Trade Street, Suite 2500
Charlotte, NC 28202

Complete Part 8 Electronic Funds Transfer (EFT) Information (OPTIONAL) only if you want to be paid electronically. Otherwise, you will receive a paper check from the US Treasury. Please contact the Finance Department if you have questions about completing this form.

AO_213.pdf