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3cffad018cffd201cbfffe01050028020a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff00000800000024feef01e6fe5802
1c00000024030c00b1feef0137fe020224fe120239fe2002bdfe5802ccfe5302e6fe0602d8feff01befe4f0241fe15024cfe1102bdfefb010a00000026060f00
0a00ffffffff0100000000000e00000026060f001200ffffffff00000800000034ff2a024effa2020c0000002403040034ff2a0239ffa2024effa20245ff3202
0a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff0000080000006cfe8d02d80009034200000024031f00cfff8d025fff9702
10ff9b029bfe9c0288fea6026cfef60270fe060385fe090331fffa02d3fff0023f00ec02a300f302d400fa02d800e102c700e102c600ee026000e402fcffe402
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ffff0100000000000e00000026060f001200ffffffff0000080000000c005502e801630344000000240320001d0084028e00b402d400d5020f01f80253012c03
89014f039d015303d3013203d3011d03ae0105035301cb0204019602bb006e028f006602a0005502c8006602f90081023d01ad027501d502b501ff02e1011803
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0e00000026060f001200ffffffff000008000000720115028a02be0230000000240316008101be027201b00278019802b301640208021602190215021b022202
fa013e02aa017a0287019a028501ab029701b3027102a70274029c02470265022402330224022c02320238028a029c028802b6026902ba02ac01be020a000000
26060f000a00ffffffff0100000000000a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff00000800000017013bfe130219ff
0e00000026060f001200ffffffff0000080000009a013ffe130213ff0c000000240304009a0145fefd010fff130213ffa9013ffe0a00000026060f000a00ffff
ffff0100000000000e00000026060f001200ffffffff00000800000017013bfe130219ff1800000024030a00a8013bfe1701fbfe18010eff2a0117ff130219ff
0f020bff2e010aff270100ff5a01b6feab0155fe0a00000026060f000a00ffffffff0100000000000a00000026060f000a00ffffffff0100000000000e000000
26060f001200ffffffff00000800000078fd34fe9cffd3fe0e00000026060f001200ffffffff00000800000078fd3bfe9cffd3fe1800000024030a0080ffa5fe
87ff73fe8aff3efe9cff3bfe8fffc6fe75ffd3fe78fdcffe7afdbcfe6dffc6fe83ffb5fe0a00000026060f000a00ffffffff0100000000000e00000026060f00
1200ffffffff00000800000078fd34fe9cffd1fe1a00000024030b0087fdc3fe83fd7efe8efd43fe91ff4bfe9cff3cfe24ff3afe60fe3afe83fd34fe78fd5afe
78fd92fe78fdd1fe0a00000026060f000a00ffffffff0100000000000a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff0000
08000000cdfe3afd7601bbfd0e00000026060f001200ffffffff000008000000cdfe3afd7301b1fd1000000024030600cdfeb1fdd3fe3afd730146fd6c0155fd
e2fe4cfddafeb0fd0a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff000008000000cffe48fd7601bbfd1000000024030600
cffeb3fd7601bbfd720148fd610152fd6901aefdd0fea4fd0a00000026060f000a00ffffffff0100000000000a00000026060f000a00ffffffff010000000000
0e00000026060f001200ffffffff00000800000036fde6fc600255000e00000026060f001200ffffffff00000800000036fde6fc41023d0007000000fc020000
919191020000040000002d01030004000000f00101004a00000024032300330205fd79010dfd8f0011fd8eff0ffd87fe05fde1fdfcfc5afdfefc47fd0dfd44fd
3afd44fdd0fd53fd73fe55fdfffe64fd86ff6bfd0d0072fd2c0075fd3d0050fd3b0053fd1b0055fdccff4cfd4cff42fdbcfe3bfd41fe38fdbcfd36fd38fd3bfd
fefc42fde8fc5ffde6fcb1fdf2fc20fef0fcbffef9fc78ff00fd770005fd220100fddc01fcfc4102f4fc0a00000026060f000a00ffffffff0100000000000e00
000026060f001200ffffffff0000080000005afdfbfc600255004a0000002403230068fd27008efe2c00beff2e007a002e002e0131002b02380052023f004f02
ccff370239ff2402b6fe1f02f3fd24028cfd350222fd2d0200fd3702fbfc430226fd3c0265fd2d02b9fd2b0215fe3502a6fe3e0206ff4a0258ff5602b4ff5e02
f5ff60024e00540255002b024900b3014400f0003f0066003a00eeff3a0048ff3600a2fe3600eafd36005afd3a000a00000026060f000a00ffffffff01000000
00000a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff00000800000051ff97feb201e0010e00000026060f001200ffffffff
000008000000fbff07ffa300a9ff07000000fc020000000000020000040000002d01010004000000f00103003a00000024031b0067002bff530016ff38000aff
290007ff14000fff08001cff010033fffbff4bffffff73ff08008aff13009aff2700a4ff3800a9ff4c00a8ff5a00a0ff660092ff6b007eff710068ff75004dff
72003eff84002fff9b0024ffa30019ffa20012ff94000dff870012ff7c0025ff0a00000026060f000a00ffffffff0100000000000e00000026060f001200ffff
ffff0000080000003300b5ffc300ac003e00000024031d004600baff6400b5ff7f00baff9600c5ffa700d6ffb300eaffbb000300c2001c00c3003900be005a00
b6007400ac008b00a1009d009000a8007a00ac006700aa005800a100500096004a0081004c006700540057005b0042005b003300550027004c0014003e000200
3300edff3300daff3700cbff0a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff00000800000051ff97fe5700f0ff4c000000
240324001f00cdff3b00cbff5000cdff5700dbff5100e9ff4200f0ff1800eaffe2ffdbffb5ffb7ff9bff7eff82ff2aff77fff0fe74ffddfe60ffd2fe51ffbcfe
55ffabfe65ffabfe72ffc1fe7bffbffe70ffa2fe7bff97fe8cffaefe89ffc4fe99ff9efea6ffa2feaaffb2fe9cffc3fe8effd7fe8affe8fe90ff0cff9cff3cff
afff6cffc8ff98ffd8ffb2ffedffc2ff0700c8ff0a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff0000080000007300dbfe
b201edff66000000240331007d00ccff9f00c9ffcb00c2ff0601afff2a0199ff3a0182ff4b0159ff560130ff57011aff54010fff39010bff2f0100ff3501f6fe
4101f6fe5201fefe5b0101ff6601fcfe7301f1fe7c01e0fe8601dbfe9101dcfe8e01ebfe7e01fcfe730104ff750107ff820107ff920105ffa00100ffa501f5fe
b001f9feb20107ffa30113ff8d0116ff750114ff6c011aff660131ff62014bff5b016bff540182ff4b0195ff3d01a8ff3101afff1b01bdfffe00ccffd500d7ff
b400dfff8f00edff7d00e9ff7300d7ff0a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff00000800000039007c009f00db01
44000000240320005300800067007c007100860074009a007600bf007200fb006b003501610071015900a4015800af015d00b4016e00ad017a00990183009101
95008b019c008f019f00a1018900ab017100c0015c00d5014e00db014300d7013900cf013900c8014200b3014b00a5014f0083014f0057014e0019015500eb00
5000ba00500094000a00000026060f000a00ffffffff0100000000000e00000026060f001200ffffffff0000080000007b008000e600e0014400000024032000
7b0086008d008000990087009f009c00a300c100a700fd00a6003701a3007601a000a901a200b401a700b901b500af01c1009901c7009101d9008801e1008d01
e6009e01d000ab01ba00c301a800da019d00e0019000df018500d6018500cf018c00ba019200aa01930088018e005c01850020018800ef007e00c1007b009b00
0a00000026060f000a00ffffffff0100000000000a00000026060f000a00ffffffff0100000000000a00000026060f000a00ffffffff0100000000000e000000
26060f001200544e505004000800000000000000000000000a00000026060f000a00ffffffff010000000000040000002d01020007000000fc020100000000000000040000002d01030004000000f0010100030000000000}\par}}}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid5462850    }{
\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid13582383 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13582383 {\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10630824 KEEPING }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10376421 
CERTAIN SENSITIVE }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10630824 INFORMATION CONFIDENTIAL}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10780132  IN }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid11956327 
COURTS OF LIMITED JURISDICTION}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid1726505  }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid6111707 CRIMINAL}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10426097  }{\rtlch\fcs1 \af1\afs40 
\ltrch\fcs0 \b\f1\fs40\insrsid10780132 CASES
\par }{\rtlch\fcs1 \af1\afs32 \ltrch\fcs0 \b\f1\fs32\lang1024\langfe1024\noproof\insrsid6111707 {\shp{\*\shpinst\shpleft-360\shptop220\shpright8295\shpbottom8106\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr2\shpwrk0\shpfblwtxt0\shpz0\shplid1033
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 65536}}{\sp{\sn WrapText}{\sv 2}}{\sp{\sn fFitShapeToText}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \ltrpar \pard\plain \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4526508 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\insrsid4526508\charrsid992822 Note}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid8458224 :  In general, all information that you file with a court is public information.  Anyone can view}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
, copy, and share t}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid8458224 his information.  There are certain types of cases that are not open to the public.  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
\par 
\par The Supreme Court has enacted Court Rules for Privacy and Public Access to Court Records in {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}Montana{\*\xmlclose}{\*\xmlclose}
.  It is important that you understand these rules.  These rules apply to all court records.  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid8458224 There is certain information tha}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
t you cannot put in a court record and should be maintained as confidential}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid8458224 .  
\par 
\par For more information on the Access To Court Records Rules, please look }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 online at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 HYPERLINK "http://www.courts.mt.gov"}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid14569026 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b4c00000068007400740070003a002f002f007700770077002e0063006f0075007200740073002e006d0074002e0067006f0076002f000000795881f43b1d7f48af2c825dc485276300000000a5ab0000}}}{\fldrslt 
{\rtlch\fcs1 \af1 \ltrch\fcs0 \cs15\f1\ul\cf2\insrsid4526508 www.courts.mt.gov}}}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 . }{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4526508\charrsid1726505 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid992822 Use these instructions }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 and forms to keep the following sensitive information confidential in a court record:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 1)\tab}}\pard \ltrpar\ql \fi-720\li1440\ri0\widctlpar
\jclisttab\tx1440\wrapdefault\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin1440\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 Complete Social Security Numbers
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 2)\tab}Complete Financial Account Numbers
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 3)\tab}Full names of minor children, unless state law requires a child\rquote s name to be public
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 4)\tab}Names and addresses of an alleged victim of a crime
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 5)\tab}Full birth dates of any person}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid992822 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid992822 
\par These instructions and forms may not be right for your case. They can not take the place of advice from a lawyer. Talk to a lawyer if you have }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid992822 any}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid4526508\charrsid992822  questions.  
\par 
\par Do not change these forms.  If you change the forms, you might lose language you need. }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid933207 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8793881\charrsid4526508 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8192\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4526508 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid992822 Note}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid8458224 
:  In general, all information that you file with a court is public information.  Anyone can view}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 , copy, and share t}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid8458224 
his information.  There are certain types of cases that are not open to the public.  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
\par 
\par The Supreme Court has enacted Court Rules for Privacy and Public Access to Court Records in {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}Montana{\*\xmlclose}{\*\xmlclose}
.  It is important that you understand these rules.  These rules apply to all court records.  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid8458224 There is certain information tha}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
t you cannot put in a court record and should be maintained as confidential}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid8458224 .  
\par 
\par For more information on the Access To Court Records Rules, please look }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 online at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 HYPERLINK "http://www.courts.mt.gov"}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid14569026 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b4c00000068007400740070003a002f002f007700770077002e0063006f0075007200740073002e006d0074002e0067006f0076002f000000795881f43b1d7f48af2c825dc485276300000000a5ab0000}}}{\fldrslt 
{\rtlch\fcs1 \af1 \ltrch\fcs0 \cs15\f1\ul\cf2\insrsid4526508 www.courts.mt.gov}}}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 . }{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4526508\charrsid1726505 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid992822 Use these instructions }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 and forms to keep the following sensitive information confidential in a court record:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 1)\tab}}\pard \ltrpar\ql \fi-720\li1440\ri0\widctlpar
\jclisttab\tx1440\wrapdefault\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin1440\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 Complete Social Security Numbers
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 2)\tab}Complete Financial Account Numbers
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 3)\tab}Full names of minor children, unless state law requires a child\rquote s name to be public
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 4)\tab}Names and addresses of an alleged victim of a crime
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \hich\af1\dbch\af0\loch\f1 5)\tab}Full birth dates of any person}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid992822 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid992822 
\par These instructions and forms may not be right for your case. They can not take the place of advice from a lawyer. Talk to a lawyer if you have }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid992822 any}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid4526508\charrsid992822  questions.  
\par 
\par Do not change these forms.  If you change the forms, you might lose language you need. }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid933207 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8793881\charrsid4526508 
\par }}\dpx-360\dpy220\dpxsize8655\dpysize7886\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid6111707 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9117767 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid9117767 What Forms Will I Need to Keep Information Confidential}{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid9117767\charrsid7097214 ?}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid9117767 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f3\insrsid10775490 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\ql \fi-360\li1440\ri0\sl360\slmult1\widctlpar
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111211111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111000c00000040092900aa0000000000000072016e0100000000040000002701ffff030000000000}\par}}}{\rtlch\fcs1 \af1\afs28 
\ltrch\fcs0 \b\f1\fs28\insrsid2692574 What Words Do I Need to Know?\tab 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid2692574 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid2692574\charrsid10630824 Plaintiff}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid2692574  \endash  The State of {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}Montana{\*\xmlclose}
{\*\xmlclose} brings all charges against an individual.
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid2692574 Defendant}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid2692574  \endash  A Defendant is someone who criminal charges are brought against.  For example, if you are charged with a crime, then you are the 
Defendant.  
\par 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12013355 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid2692574 Court Record}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid2692574  \endash 
 Includes, any document or information that is collected, received, or maintained in the official court file in connection with this case.  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \i\f1\ul\cf6\insrsid12013355\charrsid1057040 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13582383 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16597612 
\par }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid13582383\charrsid3303908 Who Can Use the Form?
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13582383 You can use the form if you:
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f3\insrsid10775490 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\ql \fi-360\li780\ri0\sl360\slmult1\widctlpar
\jclisttab\tx780\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin780\itap0\pararsid13582383 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10775490 Need to file a social security number, complete financial account numbers, f}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid2692574 ull names of minor children, }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 the name and address of an alleged victim of a crime, }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10775490 a full date of birth of any person}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid2692574 , or the name and/or address of a victim}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10775490 .  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13582383 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f3\insrsid8873013 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\ql \fi-360\li780\ri0\sl360\slmult1\widctlpar
\jclisttab\tx780\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin780\itap0\pararsid14090558 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8873013 Are a party to the case. }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13582383 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13582383 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13582383\charrsid7483448 
\par }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid933207 \page }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid225472 What do I do}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid2361813  with the forms?}{\rtlch\fcs1 \af1\afs28 
\ltrch\fcs0 \b\f1\fs28\insrsid15546683 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid13204585 1\tab Complete the document you will file with the Court.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid2361813 
\par }\pard \ltrpar\ql \fi-720\li1440\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0\pararsid4526508 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 {\*\bkmkstart Check1}
 FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 {\*\bkmkend Check1}\tab Only tell the court about a person\rquote 
s social security number, financial account number, full name of minor children, full dates of birth if you are required by law to do so or if it is absolutely necessary for your case.
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab 
Only tell the court about an alleged victim\rquote s name and/or address if you are required by law or if it is absolutely necessary for your case.
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab 
When you are required by law or necessity to give the Court this sensitive information, you must not place it in a document that will be available for public inspection.
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab 
Use these formats when required to put sensitive information in a court document: 
\par }\pard \ltrpar\ql \fi720\li720\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid4526508 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab For a social security number, use this format: }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\insrsid4526508\charrsid13204585 XXX-XX-1234}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 .
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab 
For a date of birth, use this format:   }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508 born in the year 1900}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 .}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid13204585 
\par }\pard \ltrpar\ql \fi-720\li2160\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin2160\itap0\pararsid4526508 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab For financial account numbers, use this format:   }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\insrsid4526508\charrsid13204585 ending in the last four digits of 1234}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 .
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab 
For the name of a minor child, use a made-up name, for example, }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508 Child 1 }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 and }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508 Child 2.
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab 
For the name of an alleged victim (this person is sometimes called the complainant), use a made-up name, for example }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid9781450 Alleged Victim 1}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
 and }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid9781450 Alleged Victim 2}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 .}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid13204585 
\par }\pard \ltrpar\ql \fi-720\li1440\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0\pararsid4526508 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab Fill out the judicial district, county, and caption on all of the other forms 
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 {\*\bkmkstart Check2} FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 
650000001400000006436865636b3200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check2}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 {\*\bkmkend Check2}\tab Fill out the appropriate blanks on the Sensitive Data Form.  
\par }\pard \ltrpar\ql \li720\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid4526508 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  FORMCHECKBOX }{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4526508\charrsid2361813 {\*\datafield 650000001400000006436865636b3300000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check3}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 \tab Sign and date the Sensitive Data Form. 
\par }\pard \ltrpar\ql \li720\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid11956327 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327  FORMCHECKBOX }{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid11956327\charrsid2361813 {\*\datafield 650000001400000006436865636b3200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check2}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327 \tab Sign, date, and have notarized the Affidavit of Service.
\par }\pard \ltrpar\ql \fi-720\li1440\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0\pararsid11956327 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid11956327 
{\shp{\*\shpinst\shpleft-360\shptop849\shpright9180\shpbottom4838\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr2\shpwrk0\shpfblwtxt0\shpz4\shplid1157{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn lTxid}{\sv 327680}}{\sp{\sn hspNext}{\sv 1157}}{\sp{\sn fFitShapeToText}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \ltrpar \pard\plain \ltrpar
\ql \fi720\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af1 \ltrch\fcs0 
\b\f1\insrsid11956327 ___ City Court of __________  \tab \tab __ Municipal Court of ____________  
\par ___ {\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Justice Court{\*\xmlclose}{\*\xmlclose}\tab \tab \tab \tab __ Justice Court of Record}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 {\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327 Select Court and Fill in Name of City }{\rtlch\fcs1 \ai\af1\afs20 
\ltrch\fcs0 \i\f1\fs20\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 {\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11956327\charrsid16540573 {\*\xmlopen\xmlns2{\factoidname PlaceName}}_____________________
{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}County}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11956327 {\*\xmlclose}, State of {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}Montana}{\rtlch\fcs1 \ab\af1 
\ltrch\fcs0 \b\f1\insrsid11956327\charrsid16540573 {\*\xmlclose}{\*\xmlclose}
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327 \tab \tab \tab }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\i\f1\fs20\insrsid11956327\charrsid16540573 Name of }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327 the county where you are filing}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327\charrsid12994052 
\par \ltrrow}\trowd \lastrow \ltrrow\ts11\trgaph122\trleft0\trftsWidth1\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid7474433\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf8 \clbrdrb\brdrs\brdrw17\brdrcf1 
\clbrdrr\brdrs\brdrw15\brdrcf8 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw17\brdrcf1 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 
\cltxlrtb\clftsWidth3\clwWidth499\clshdrawnil \cellx5179\clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf8 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 \cltxlrtb\clftsWidth3\clwWidth4180\clshdrawnil \cellx9359
\pard \ltrpar\ql \li0\ri0\sl-201\slmult0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 STATE OF {\*\xmlopen\xmlns2{\factoidname State}}
{\*\xmlopen\xmlns2{\factoidname place}}MONTANA{\*\xmlclose}{\*\xmlclose}
\par COUNTY OF _________________________
\par CITY OF _____________________________}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 Plaintiff}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid11956327\charrsid12866218 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 
\par and
\par 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 ________________________}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 _____________}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid11956327\charrsid16540573 __
\par }\pard \ltrpar\qr \fi-718\li718\ri0\widctlpar\intbl\tx-1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin718\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573  \tab }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \f1\fs20\insrsid11956327 Defendant}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 \cell }\pard \ltrpar\ql \li0\ri0\sl-201\slmult0
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 
\par }\pard \ltrpar\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 \cell }\pard \ltrpar\ql \li0\ri0\sl-201\slmult0
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 Cause No.: _________________ 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327 Fill this in if you know your cause number or it will be f}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327\charrsid16540573 illed out by Clerk of }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \i\f1\fs20\insrsid11956327 Court}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327\charrsid16540573 
\par }{\rtlch\fcs1 \ab\af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid11956327 
\par }{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11956327\charrsid16540573 Name of Form}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 \trowd \lastrow \ltrrow
\ts11\trgaph122\trleft0\trftsWidth1\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid7474433\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf8 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 
\cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw17\brdrcf1 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 \cltxlrtb\clftsWidth3\clwWidth499\clshdrawnil \cellx5179
\clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf8 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 \cltxlrtb\clftsWidth3\clwWidth4180\clshdrawnil \cellx9359\row }\pard \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11956327\charrsid6844218 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8196\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\ql \fi720\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 \rtlch\fcs1 \af0\afs24\alang1025 
\ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11956327 ___ City Court of __________  \tab \tab __ Municipal Court of ____________  
\par ___ {\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Justice Court{\*\xmlclose}{\*\xmlclose}\tab \tab \tab \tab __ Justice Court of Record}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 {\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327 Select Court and Fill in Name of City }{\rtlch\fcs1 \ai\af1\afs20 
\ltrch\fcs0 \i\f1\fs20\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 {\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11956327\charrsid16540573 {\*\xmlopen\xmlns2{\factoidname PlaceName}}_____________________
{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}County}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11956327 {\*\xmlclose}, State of {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}Montana}{\rtlch\fcs1 \ab\af1 
\ltrch\fcs0 \b\f1\insrsid11956327\charrsid16540573 {\*\xmlclose}{\*\xmlclose}
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327 \tab \tab \tab }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\i\f1\fs20\insrsid11956327\charrsid16540573 Name of }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327 the county where you are filing}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327\charrsid12994052 
\par \ltrrow}\trowd \lastrow \ltrrow\ts11\trgaph122\trleft0\trftsWidth1\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid7474433\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf8 \clbrdrb\brdrs\brdrw17\brdrcf1 
\clbrdrr\brdrs\brdrw15\brdrcf8 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw17\brdrcf1 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 
\cltxlrtb\clftsWidth3\clwWidth499\clshdrawnil \cellx5179\clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf8 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 \cltxlrtb\clftsWidth3\clwWidth4180\clshdrawnil \cellx9359
\pard \ltrpar\ql \li0\ri0\sl-201\slmult0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 STATE OF {\*\xmlopen\xmlns2{\factoidname State}}
{\*\xmlopen\xmlns2{\factoidname place}}MONTANA{\*\xmlclose}{\*\xmlclose}
\par COUNTY OF _________________________
\par CITY OF _____________________________}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 Plaintiff}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid11956327\charrsid12866218 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 
\par and
\par 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 ________________________}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 _____________}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid11956327\charrsid16540573 __
\par }\pard \ltrpar\qr \fi-718\li718\ri0\widctlpar\intbl\tx-1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin718\pararsid7474433 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573  \tab }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \f1\fs20\insrsid11956327 Defendant}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 \cell }\pard \ltrpar\ql \li0\ri0\sl-201\slmult0
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 
\par }\pard \ltrpar\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 \cell }\pard \ltrpar\ql \li0\ri0\sl-201\slmult0
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327\charrsid16540573 Cause No.: _________________ 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327 Fill this in if you know your cause number or it will be f}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327\charrsid16540573 illed out by Clerk of }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \i\f1\fs20\insrsid11956327 Court}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid11956327\charrsid16540573 
\par }{\rtlch\fcs1 \ab\af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid11956327 
\par }{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11956327\charrsid16540573 Name of Form}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid16540573 
\par }\pard \ltrpar\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7474433 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid12659168 \trowd \lastrow \ltrrow
\ts11\trgaph122\trleft0\trftsWidth1\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid7474433\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf8 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 
\cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw17\brdrcf1 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 \cltxlrtb\clftsWidth3\clwWidth499\clshdrawnil \cellx5179
\clvertalt\clbrdrt\brdrdb\brdrw17\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf8 \clbrdrb\brdrs\brdrw17\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf8 \cltxlrtb\clftsWidth3\clwWidth4180\clshdrawnil \cellx9359\row }\pard \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11956327\charrsid6844218 
\par }}\dpx-360\dpy849\dpxsize9540\dpysize4292\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327 \tab 
For Courts of Limited Jurisdiction \endash  The caption looks like this:
\par }\pard \ltrpar\ql \fi-720\li720\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid11956327 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11956327 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11956327 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11956327 
\par }\pard \ltrpar\ql \fi-720\li720\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid4350648 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11956327 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid5333813 2\tab Make Copies
\par }\pard \ltrpar\ql \fi-720\li1440\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0\pararsid13582383 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid5333813 {\*\bkmkstart Check4}
 FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15079552\charrsid5333813 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15406715 {\*\bkmkend Check4}\tab Make }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8873013 two copies}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid15406715  of each form after}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid5333813  you have filled them out.  
\par }\pard \ltrpar\ql \fi-720\li720\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid13582383 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid5333813 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid5333813 3\tab File Forms at the Courthouse
\par }\pard \ltrpar\ql \fi-720\li1440\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0\pararsid14090558 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558 {\*\bkmkstart Check5}
 FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558\charrsid5333813 {\*\datafield 650000001400000006436865636b3500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check5}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558 {\*\bkmkend Check5}\tab Go to the Clerk of Court\rquote s office in your county courthouse.  File the original }{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid5704220 Sensitive Data Form.  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558 
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558 {\*\bkmkstart Check13} FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558\charrsid5638613 {\*\datafield 
650000001400000007436865636b313300000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check13}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558 {\*\bkmkend Check13}\tab Give your copies to the Clerk of Court and ask her to stamp the }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid5704220 Sensitive Data Form}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid14090558  as \'93Filed\'94.  
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558\charrsid5638613 {\*\datafield 650000001400000007436865636b313300000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check13}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558 \tab 
Mail the other side a filed copy of the }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid5704220 Sensitive Data Form.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558 
\par }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558\charrsid5333813 {\*\datafield 650000001400000006436865636b3600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check6}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid14090558 \tab 
Keep your copies in a safe place.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid5333813\charrsid5333813 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13582383 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid13650862 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid8873013 \hich\af1\dbch\af0\loch\f1 4\tab}}\pard \ltrpar\ql \fi-720\li720\ri0\sl360\slmult1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls16\adjustright\rin0\lin720\itap0\pararsid3871451 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid8873013 The }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid9117767 Clerk of Court}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\insrsid16217505 
\par }\pard \ltrpar\ql \fi-720\li1440\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0\pararsid3871451 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3871451  FORMCHECKBOX }{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3871451\charrsid5333813 {\*\datafield 650000001400000006436865636b3500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check5}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3871451 \tab The Clerk will }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid5704220 
keep the Sensitive Information Form separately.  The public will not have access to this document, unless the court orders it. }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3871451 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1057040 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8278924 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid8278924 Where can I get more information?
\par }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\lang1024\langfe1024\noproof\insrsid8278924 {\shp{\*\shpinst\shpleft0\shptop83\shpright1080\shpbottom1163\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr2\shpwrk0\shpfblwtxt0\shpz2\shplid1152
{\sp{\sn shapeType}{\sv 75}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn pib}{\sv {\pict\picscalex20\picscaley19\piccropl0\piccropr0\piccropt0\piccropb0
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\f1\insrsid8278924 The Privacy Rules can be accessed at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8278924 HYPERLINK "http://www.courts.mt.gov"}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8278924\charrsid14569026 {\*\datafield 
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{\rtlch\fcs1 \af1 \ltrch\fcs0 \cs15\f1\ul\cf2\insrsid8278924 www.courts.mt.gov}}}\sectd \pgnrestart\linex0\endnhere\pgnhn1\sectlinegrid360\sectdefaultcl\sectrsid933207\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\cf2\insrsid8278924\charrsid13455647 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8278924 The Montana Code Annotated (MCA) contains {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}Montana{\*\xmlclose}{\*\xmlclose}\rquote s law.  The MCA can be found at yo
ur local library or online at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8278924 HYPERLINK "http://data.opi.state.mt.us/bills/mca_toc/index.htm"}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8278924\charrsid12999325 {\*\datafield 
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\rquote s Constitution can be found at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8278924 HYPERLINK "http://data.opi.state.mt.us/bills/mca_toc/Constition.htm"}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8278924\charrsid12999325 
{\*\datafield 
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\par }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid8278924 
\par }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid225472 Where can I get legal help?}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid15546683 
\par }\pard \ltrpar\ql \fi360\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f3\insrsid4526508 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\ql \fi-360\li720\ri0\sl360\slmult1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508 Office of the State Public }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid11956327 
Defender}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508  is appointed to represent individuals who qualify.  Here is their }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
 HYPERLINK "http://www.mt.gov/govt/statedir/agency/publicdefender.asp" }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid10552858 {\*\datafield 
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\par }\pard \ltrpar\ql \li360\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255 \tab 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f3\insrsid4526508\charrsid9467110 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\ql \fi-360\li720\ri0\sl360\slmult1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid9467110 The State Bar Lawyer Referral and Information Service}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid4526508\charrsid681255  (LRIS) refers people to {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}Montana{\*\xmlclose}{\*\xmlclose} lawyers who might be able to hel}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
p. The referral is free. Call}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255  LRIS at 1-406-449-6577.
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f3\insrsid4526508\charrsid9467110 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\ql \fi-360\li720\ri0\sl360\slmult1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls5\adjustright\rin0\lin720\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid9467110 The State Law Library}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255 
 can help you find and use legal resources such as books, forms, and websites. You can visit the Law Library website at }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255  HYPERLINK "http://www.lawlibrary.mt.gov" 
}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255 {\*\datafield 
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\par }\pard \ltrpar\ql \li720\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255 1-406-444-3636 }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid4526508 or toll free }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid12999325 at }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang9\langfe1033\langnp9\insrsid4526508\charrsid12999325 1-800-710-9827}{\rtlch\fcs1 \af0\afs17 \ltrch\fcs0 
\f37\fs17\lang9\langfe1033\langnp9\insrsid4526508  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255 or by email at }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255  HYPERLINK "mailt
o:mtlawlibrary@mt.gov" }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid681255 {\*\datafield 
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\ltrch\fcs0 \f1\insrsid4526508\charrsid681255 .}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
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\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid13455647 Sensitive Data Form }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 COLJ}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid13455647  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid4201922 Criminal}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid13455647  Case}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid7882075\charrsid12013355 
\par }\pard \ltrpar\s17\ql \li0\ri0\widctlpar\tqc\tx4320\tqr\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4201922 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\insrsid8278924 Approved July 22, 2008}{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \cs18\f1\fs20\insrsid4201922\charrsid4201922  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\insrsid4201922 \tab \tab }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\insrsid4201922\charrsid12013355 Page }{\field{\*\fldinst {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\insrsid4201922\charrsid12013355  PAGE }}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\lang1024\langfe1024\noproof\insrsid7409616 3}}}\sectd \linex0\endnhere\sectdefaultcl\sftnbj {\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \cs18\f1\fs20\insrsid4201922\charrsid12013355  of }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\insrsid4201922\charrsid12013355  SECTIONPAGES }}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\cs18\f1\fs20\lang1024\langfe1024\noproof\insrsid7409616 3}}}\sectd \linex0\endnhere\sectdefaultcl\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid4201922\charrsid4201922 
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field\flddirty{\*\fldinst {
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid13787748\charrsid12659168  SEQ CHAPTER \\h \\r 1}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid6495417\charrsid11751452 ________________________________
\par }\pard \ltrpar\ql \fi-840\li840\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin840\itap0\pararsid6495417 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid6495417\charrsid11751452 Your name
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid6495417\charrsid11751452  SEQ CHAPTER 
\\h \\r 1}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 ________________________________
\par }\pard \ltrpar\ql \fi-840\li840\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin840\itap0\pararsid6495417 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid6495417\charrsid11751452 Your mailing address
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid6495417\charrsid11751452  SEQ CHAPTER 
\\h \\r 1}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 ________________________________
\par }\pard \ltrpar\ql \fi-2880\li2880\ri0\widctlpar\tx720\tx1440\tx2160\tx2880\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin2880\itap0\pararsid6495417 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid6495417\charrsid11751452 City}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 \tab \tab }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid6495417\charrsid11751452 State\tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452  \tab \tab }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 
\i\f1\insrsid6495417\charrsid11751452 Zip 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid6495417\charrsid11751452  SEQ CHAPTER 
\\h \\r 1}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 ________________________________
\par }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid6495417\charrsid11751452 Your phone number
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 
\par 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \ab\af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid6495417\charrsid11751452 {\*\xmlopen\xmlns2{\factoidname State}}
{\*\xmlopen\xmlns2{\factoidname place}}Montana{\*\xmlclose}{\*\xmlclose} _______________ Judicial District Court
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid6495417\charrsid11751452 Number of the judicial district where you are filing
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \ab\af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid6495417\charrsid11751452 {\*\xmlopen\xmlns2{\factoidname PlaceName}}
{\*\xmlopen\xmlns2{\factoidname place}}_____________________{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}County{\*\xmlclose}{\*\xmlclose}
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\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph122\trrh1254\trleft0\trftsWidth3\trwWidth9359\trftsWidthB3\trftsWidthA3\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid16479469\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrdb\brdrw30\brdrcf1 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvmgf\clvertalt\clbrdrt\brdrdb\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrdb\brdrw30\brdrcf1 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1615\clshdrawnil \cellx6655\clvertalt\clbrdrt\brdrdb\brdrw30\brdrcf1 
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2704\clshdrawnil \cellx9359\pard \ltrpar\ql \fi-718\li718\ri0\widctlpar\intbl\tx-1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin718\pararsid16479469 {
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
\par 
\par 
\par }\pard \ltrpar\ql \fi-718\li718\ri0\widctlpar\intbl\tx-1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin718\pararsid11956327 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 THE STATE OF {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname State}}MONTANA}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11956327\charrsid11751452 {\*\xmlclose}{\*\xmlclose}\cell }\pard \ltrpar\ql \li0\ri0\sl-201\slmult0
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 
\par }\pard \ltrpar\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 \cell }\pard \ltrpar\qr \li0\ri0\sl-201\slmult0
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 
\par 
\par Cause No.:\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 
\par }\pard \ltrpar\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph122\trrh1254\trleft0\trftsWidth3\trwWidth9359\trftsWidthB3\trftsWidthA3\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid16479469\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrdb\brdrw30\brdrcf1 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvmgf\clvertalt\clbrdrt\brdrdb\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5040
\clvertalb\clbrdrt\brdrdb\brdrw30\brdrcf1 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1615\clshdrawnil \cellx6655\clvertalt\clbrdrt\brdrdb\brdrw30\brdrcf1 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth2704\clshdrawnil \cellx9359\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph122\trrh1236\trleft0\trftsWidth3\trwWidth9359\trftsWidthB3\trftsWidthA3\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid16479469\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5040\clvmgf\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4319\clshdrawnil \cellx9359\pard \ltrpar\qr \fi-718\li718\ri0\widctlpar\intbl
\tx-1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin718\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 P}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 laintiff}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid6495417\charrsid11751452 
\par 
\par 
\par }\pard \ltrpar\ql \fi-718\li718\ri0\widctlpar\intbl\tx-1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin718\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 vs}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 

\par 
\par 
\par \cell }\pard \ltrpar\ql \li0\ri0\sl-201\slmult0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 \cell }\pard \ltrpar
\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \f1\fs40\insrsid6495417\charrsid11751452 
\par }\pard \ltrpar\qc \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid4526508 {\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid4526508 Confidential
\par }\pard \ltrpar\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid6495417 Sensitive Data Form
\par }\pard \ltrpar\qc \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid6495417 Civil Case
\par }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid1726505 
\par }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid6495417 
\par Document Sealed
\par }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid1726505 
\par (ROA }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid933207 DOCSENIN}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid1726505 )}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid1726505\charrsid11751452 
\par }\pard \ltrpar\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1\afs32 \ltrch\fcs0 \b\f1\fs32\insrsid6495417\charrsid11751452 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph122\trrh1236\trleft0\trftsWidth3\trwWidth9359\trftsWidthB3\trftsWidthA3\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid16479469\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5040\clvmgf\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4319\clshdrawnil \cellx9359\row \ltrrow}\trowd \irow2\irowband2\lastrow \ltrrow
\ts11\trgaph122\trrh619\trleft0\trftsWidth3\trwWidth9359\trftsWidthB3\trftsWidthA3\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid16479469\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5040\clvmrg\clvertalt
\clbrdrt\brdrs\brdrw20\brdrcf1 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4319\clshdrawnil \cellx9359\pard \ltrpar\qr \fi-718\li718\ri0\widctlpar\intbl
\tx-1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin718\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 Defendant}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 \cell }\pard \ltrpar
\ql \li0\ri0\sl-201\slmult0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid11751452 \trowd \irow2\irowband2\lastrow \ltrrow
\ts11\trgaph122\trrh619\trleft0\trftsWidth3\trwWidth9359\trftsWidthB3\trftsWidthA3\trpaddl122\trpaddr122\trpaddfl3\trpaddfr3\tblrsid16479469\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5040\clvmrg\clvertalt
\clbrdrt\brdrs\brdrw20\brdrcf1 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw20\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4319\clshdrawnil \cellx9359\row }\pard \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\par 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4526508 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid4526508\charrsid8657965 The Clerk }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\insrsid4526508 is to seal this form.  This form will remain confidential unless its release is ordered by the court.  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
\par }\pard \ltrpar\ql \fi720\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 
The complete social security numbers, complete financial account numbers, full names of minor children, unless state law requires a child\rquote s name to be accessible to the public, name and address of any alleged victim, full birth dates of any p
erson, shall not be available without leave of court.  This }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508\charrsid11825358 sensitive data must not be filed or included in a }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4526508 court}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4526508\charrsid11825358  record, except on this form.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 Information about Defendant\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth828\clshdrawnil \cellx720\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3420\clshdrawnil \cellx4140\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4608\clshdrawnil \cellx8748\pard \ltrpar
\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \cell }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid6495417  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid1052853 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}
}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417   Full Date of Birth\cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow1\irowband1\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth828\clshdrawnil \cellx720\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3420\clshdrawnil \cellx4140\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4608\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \cell }{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid6495417  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid1052853 {\*\datafield 650000001400000006436865636b3200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check2}\ffdefres0}}}
}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417   Social Security Number\cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow2\irowband2\lastrow \ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth828\clshdrawnil \cellx720\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3420\clshdrawnil \cellx4140\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4608\clshdrawnil \cellx8748\row }\pard \ltrpar
\ql \li0\ri0\sb120\sa120\widctlpar\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\pard \ltrpar\ql \li0\ri0\sb120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\insrsid6495417 Information about Children}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid6175460 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid6495417 \trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1216\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\pard \ltrpar\qc \li0\ri0\sb120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 Made Up }{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid13455647 Names used in Court Documents}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid6175460 \cell Full Legal Name\cell Date of Birth\cell Age\cell Social Security\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow1\irowband1\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1216\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\cell \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow2\irowband2\ltrrow\ts24\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1216\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\cell \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow3\irowband3\ltrrow\ts24\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1216\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\cell \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow4\irowband4\ltrrow\ts24\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1216\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\cell \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow5\irowband5\ltrrow\ts24\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1216\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\cell \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow6\irowband6\lastrow \ltrrow\ts24\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1216\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4201922 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201922 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8918761\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\pard \ltrpar\ql \li0\ri0\sb120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8918761 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid4201922 Information about Alleged Victims of a Crime}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922\charrsid6175460 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4201922\charrsid6175460 \trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8918761\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8918761\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2988\clshdrawnil \cellx8748\pard \ltrpar\qc \li0\ri0\sb120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8918761 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 
Made up Names used in Court Documents}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922\charrsid6175460 \cell Full Legal Name\cell Date of Birth\cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 Address}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid4201922\charrsid6175460 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922\charrsid6175460 \trowd \irow1\irowband1\ltrrow
\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8918761\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2988\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8918761 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4201922 \cell \cell \cell 
\par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 \trowd \irow2\irowband2\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8918761\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2988\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8918761 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4201922 \cell \cell \cell 
\par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 \trowd \irow3\irowband3\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8918761\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2988\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8918761 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4201922 \cell \cell \cell 
\par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 \trowd \irow4\irowband4\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8918761\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2988\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8918761 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4201922 \cell \cell \cell 
\par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 \trowd \irow5\irowband5\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8918761\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2988\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8918761 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid4201922 \cell \cell \cell 
\par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 \trowd \irow6\irowband6\lastrow \ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8918761\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx5760\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2988\clshdrawnil \cellx8748\row }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4201922 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201922 
\par }\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3890800\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3890800 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid8278924 Information about}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922  another person}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8278924 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8278924 \trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3890800\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4201922\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth828\clshdrawnil \cellx720\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil 
\cellx3600\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5148\clshdrawnil \cellx8748\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl
\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 \cell Full Name\cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4201922 \trowd \irow1\irowband1\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4201922\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth828\clshdrawnil \cellx720\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil 
\cellx3600\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5148\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl
\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \cell Full Date of Birth\cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow2\irowband2\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4201922\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth828\clshdrawnil \cellx720\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil 
\cellx3600\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5148\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl
\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \cell Social Security Number\cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow3\irowband3\lastrow \ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4201922\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth828\clshdrawnil \cellx720\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil 
\cellx3600\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5148\clshdrawnil \cellx8748\row }\pard \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6495417 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\pard \ltrpar\ql \li0\ri0\sb120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\insrsid6495417 Financial Account Information}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid6175460 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid6495417\charrsid6175460 \trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8856\clshdrawnil \cellx8748\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3016\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\pard \ltrpar\qc \li0\ri0\sb120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 Name on Account}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid6175460 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 Company Name}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid6495417\charrsid6175460 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 Account Description}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid6175460 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 Full Account Number}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid6175460 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid6175460 
\trowd \irow1\irowband1\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3016\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl
\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \trowd \irow2\irowband2\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3016\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl
\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3955222 \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3955222 \trowd \irow3\irowband3\ltrrow\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4200025\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3016\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid3955222 \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3955222 \trowd \irow4\irowband4\ltrrow
\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4200025\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3016\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid3955222 \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3955222 \trowd \irow5\irowband5\ltrrow
\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4200025\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3016\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row \ltrrow}\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\tx4320\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid3955222 \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3955222 \trowd \irow6\irowband6\lastrow \ltrrow
\ts24\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4200025\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3016\clshdrawnil \cellx6976\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx8748\row }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6495417 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx450\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid16394394 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid13109159 Date: \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 
___________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid13109159   \tab Signature:  ____________________________
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417 \tab mm/dd/yyyy\tab \tab \tab \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid13109159 Sign here
\par \tab 
\par }\pard \ltrpar\ql \fi720\li2880\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin2880\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6495417\charrsid13109159 Print name: ____________________________
\par }\pard \ltrpar\ql \li0\ri0\sb120\widctlpar\tx5760\tx9000\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6495417 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\i\f1\insrsid6495417 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\i\f1\insrsid6495417\charrsid933207 NOTE:}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid6495417\charrsid933207      The o{\*\xmlopen\xmlns2{\factoidname PersonName}}t{\*\xmlclose}her par{\*\xmlopen\xmlns2{\factoidname 
PersonName}}t{\*\xmlclose}y will have access {\*\xmlopen\xmlns2{\factoidname PersonName}}t{\*\xmlclose}o }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid933207 this form}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid6495417\charrsid933207 .  }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid6495417\charrsid933207 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13787748 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421 \sect }\sectd \ltrsect
\pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\footerr \ltrpar \pard\plain \ltrpar\s17\ql \li0\ri0\widctlpar\tqc\tx4320\tqr\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3955222 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376421 Affidavit of Service }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid3955222 
Sensitive Data Form }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11956327 COLJ}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid3955222  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid6111707 Criminal}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid3955222  Case}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid3955222\charrsid12013355 
\par }\pard \ltrpar\s17\ql \li0\ri0\widctlpar\tqc\tx4320\tqr\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid8278924 Approved July 22, 2008}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid6111707 \tab \tab }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\insrsid10376421\charrsid12013355 Page }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\insrsid10376421\charrsid12013355  PAGE }}{\fldrslt {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\lang1024\langfe1024\noproof\insrsid7409616 2}}}\sectd \linex0\endnhere\sectdefaultcl\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\insrsid10376421\charrsid12013355  of }{\field{\*\fldinst {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\insrsid10376421\charrsid12013355  SECTIONPAGES }}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs18\f1\fs20\lang1024\langfe1024\noproof\insrsid7409616 2}}}\sectd \linex0\endnhere\sectdefaultcl\sftnbj {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376421\charrsid12013355 
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field\flddirty{\*\fldinst {
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid10376421\charrsid12659168  SEQ CHAPTER \\h \\r 1}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid10376421\charrsid12659168 __________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421 ______________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid12659168 
\par }\pard \ltrpar\ql \fi-840\li840\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin840\itap0\pararsid10376421 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid10376421\charrsid12659168 Your name
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid10376421\charrsid12659168 
 SEQ CHAPTER \\h \\r 1}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid12659168 __________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421 
______________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid12659168 
\par }\pard \ltrpar\ql \fi-840\li840\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin840\itap0\pararsid10376421 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid10376421\charrsid12659168 Your mailing address
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid10376421\charrsid12659168 
 SEQ CHAPTER \\h \\r 1}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid12659168 __________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421 
______________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid12659168 
\par }\pard \ltrpar\ql \fi-2880\li2880\ri0\widctlpar\tx720\tx1440\tx2160\tx2880\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin2880\itap0\pararsid10376421 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid10376421\charrsid12659168 City}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid10376421\charrsid12659168 \tab \tab }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid10376421\charrsid12659168 State\tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid12659168  \tab \tab }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 
\i\f1\insrsid10376421 Zip }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid10376421\charrsid12659168 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid10376421\charrsid12659168 
 SEQ CHAPTER \\h \\r 1}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid12659168 __________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421 
______________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid12659168 
\par }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid10376421\charrsid12659168 Your phone number
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid6103485 
\par 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\rtlch\fcs1 \ab\af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid10376421\charrsid14116838 {\*\xmlopen\xmlns2{\factoidname State}}
{\*\xmlopen\xmlns2{\factoidname place}}Montana{\*\xmlclose}{\*\xmlclose} _______________ Judicial District Court
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid10376421\charrsid12659168 Number of the judicia}{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 
\i\f1\insrsid10376421 l district where you are filing}{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid10376421\charrsid12659168 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid6103485 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\rtlch\fcs1 \ab\af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid10376421\charrsid14116838 {\*\xmlopen\xmlns2{\factoidname PlaceName}}
{\*\xmlopen\xmlns2{\factoidname place}}_____________________{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}County{\*\xmlclose}{\*\xmlclose}
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\rtlch\fcs1 \af1 \ltrch\fcs0 \i\f1\insrsid10376421\charrsid12659168 Name of }{\rtlch\fcs1 \af1 \ltrch\fcs0 \i\f1\insrsid10376421 
the county where you are filing
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts24\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4428\clshdrawnil \cellx4320\clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl 
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6120\clvertalt\clbrdrt\brdrdb\brdrw10 
\clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx8748\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6111707 THE STATE OF {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname State}}MONTANA}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 {\*\xmlclose}{\*\xmlclose}\cell \cell 

\par 
\par Cause No.\cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 \trowd \irow0\irowband0\ltrrow
\ts24\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrdb\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4428\clshdrawnil \cellx4320\clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6120\clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl\brdrnone 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx8748\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts24\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4428\clshdrawnil \cellx4320\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4068\clshdrawnil \cellx8748\pard \ltrpar
\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 Plaintiff
\par 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 vs
\par 
\par \cell \cell }\pard \ltrpar\ql \li0\ri0\sa19\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10376421\charrsid2643793 
\par }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10376421 AFFIDAVIT OF SERVICE}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10376421\charrsid2643793 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10376421\charrsid2643793 (ROA }{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 
\b\f1\fs40\insrsid933207 DOCAFF}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid10376421\charrsid2643793 )}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 \trowd \irow1\irowband1\ltrrow
\ts24\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4428\clshdrawnil \cellx4320\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4068\clshdrawnil \cellx8748\row \ltrrow}\trowd \irow2\irowband2\lastrow \ltrrow
\ts24\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4428\clshdrawnil \cellx4320\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4068\clshdrawnil \cellx8748\pard \ltrpar
\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 Defendant
\par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16479469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 \trowd \irow2\irowband2\lastrow \ltrrow
\ts24\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid16479469\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4428\clshdrawnil \cellx4320\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4068\clshdrawnil \cellx8748\row }\pard \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10376421\charrsid2643793 
\par }\pard\plain \ltrpar\s17\ql \fi720\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10376421 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid10376421\charrsid16002680 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 \rtlch\fcs1 
\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10376421\charrsid16002680 \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 I, _____________}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 _______}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 ___________, swear (or affirm) under oath that:
\par }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 \tab \tab \tab (print your name)
\par 
\par }\pard \ltrpar\ql \fi144\li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid933207\charrsid16002680 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 I served a copy of the attached }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 ___________________________________ }{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid933207 
\par 
\par _______________________________________________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid933207\charrsid16002680 \tab }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (name of each of the documents that you filed in Court)
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 upon _________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 ______________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 _______________________, }{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 
\par }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207 \tab \tab }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (name of the opposing party)}{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx720\tx1440\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid933207 on }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 ____ day of ________________________, ___}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 ____}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid933207\charrsid16002680 __,}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid933207 \tab   }{\rtlch\fcs1 \af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid14032272 (date)}{\rtlch\fcs1 \af1 \ltrch\fcs0 \i\f1\insrsid933207           }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (month)}{
\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207                                       }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid7166023  }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (year)}{\rtlch\fcs1 
\ai\af1 \ltrch\fcs0 \i\f1\insrsid933207 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx720\tx1440\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 
\ltrch\fcs0 \i\f1\insrsid933207 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 
\ltrch\fcs0 \i\f1\insrsid933207 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 by
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\cf1\insrsid933207 
\par }\pard \ltrpar\ql \fi-588\li588\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin588\itap0\pararsid933207 
{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\cf1\insrsid933207\charrsid16002680  FORMCHECKBOX }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\cf1\insrsid933207\charrsid16002680 {\*\datafield 
650000001400000006436865636b3200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check2}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 
\af1 \ltrch\fcs0 \b\f1\cf1\insrsid933207\charrsid16002680 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 mailing a true and correct copy }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 with }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid933207\charrsid16002680 postage prepaid and addressed as follows:
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 
\ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 \tab \tab \tab        \tab \tab     \tab  
\par }\pard\plain \ltrpar\s22\ql \fi720\li0\ri0\nowidctlpar\tx1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 ________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 _____________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 ___}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 
___________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 
\par }\pard \ltrpar\s22\ql \li720\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (opposing party\rquote s name or name of opposing party
\rquote s attorney, if he/she has one)
\par }\pard \ltrpar\s22\ql \fi720\li720\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 
\par }\pard \ltrpar\s22\ql \fi720\li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 _____________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 
______________________________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 
\par }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (}{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207 mailing}{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid6111707  address}{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 
\i\f1\insrsid933207\charrsid16002680 )
\par }\pard \ltrpar\s22\ql \fi720\li720\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 
\par }\pard \ltrpar\s22\ql \fi720\li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 _________________________________}{\rtlch\fcs1 \ai\af1 
\ltrch\fcs0 \i\f1\insrsid933207 __________________________}{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 
\par (city, state, zip code)
\par }\pard \ltrpar\s22\ql \fi720\li720\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 
\par }\pard \ltrpar\s22\ql \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid933207\charrsid16002680  FORMCHECKBOX }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid933207\charrsid16002680 {\*\datafield 650000001400000006436865636b3200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check2}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7433925\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid933207\charrsid16002680  \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid7166023 hand delivering a true and correct cop
y to:}{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid7166023        
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 \rtlch\fcs1 
\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 \tab \tab \tab        \tab \tab     \tab  
\par }\pard\plain \ltrpar\s22\ql \fi720\li0\ri0\nowidctlpar\tx1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 ________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 _____________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 ___}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 
___________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 
\par }\pard \ltrpar\s22\ql \li720\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (opposing party\rquote s name or name of opposing party
\rquote s attorney, if he/she has one)
\par }\pard \ltrpar\s22\ql \li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \ab\ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 
\par }\pard \ltrpar\s22\ql \fi720\li0\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 
\par }\pard\plain \ltrpar\ql \fi144\li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx4680\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 \tab DATED this ____ day of ___________________, _____.
\par }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207      \tab \tab     (date)\tab   }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (month)\tab }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207 \tab \tab \tab }{\rtlch\fcs1 
\ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (year)\tab 
\par }\pard \ltrpar\qr \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4320\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid933207\charrsid16002680 \tab \tab \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 \tab \tab \tab \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 ______________________________________

\par }\pard \ltrpar\ql \fi144\li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx4680\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 \tab \tab \tab \tab \tab \tab \tab \tab }{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \i\f1\insrsid933207\charrsid16002680 (Your signature)
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx4680\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid933207 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 State of __________________________
\par \tab {\*\xmlopen\xmlns2{\factoidname PlaceType}}{\*\xmlopen\xmlns2{\factoidname place}}County{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceName}}of_________________________{\*\xmlclose}{\*\xmlclose}
\par 
\par SIGNED AND SWORN (OR AFFIRMED) to before me on ___________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 _________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 _______, 20__}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 ___}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 _}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 .}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 
\par 
\par by _______________________________________. }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 
\par }\pard \ltrpar\ql \fi720\li3600\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin3600\itap0\pararsid933207 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 _____}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 
___________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 Notary Public for the State __________
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 _____}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 ___________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 \tab \tab \tab \tab \tab \tab Printed name of notary}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid933207 
\par }\pard \ltrpar\ql \li4320\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin4320\itap0\pararsid933207 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 _____}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207 
___________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid16002680 Title or rank:  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid7087693 ______________________________
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid7087693 \tab \tab \tab \tab \tab \tab Residing at   
\par }\pard\plain \ltrpar\s17\ql \fi720\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid933207\charrsid7087693 \tab \tab \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid933207\charrsid10564496 My Commission Expires:____________
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\tx-1656\tx-1296\tx-576\tx144\tx594\tx1584\tx2304\tx3024\tx3744\tx4464\tx5184\tx5904\tx6624\tx7344\tx8064\tx8784\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid933207 \rtlch\fcs1 
\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13787748\charrsid12659168 
\par }}