Civil Disclosure Statement

UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ALABAMA DIVISION ) ) ) ) ) ) ) ) ) _____________________________________ Plaintiff, vs. _____________________________________ Defendant. Case No. __________________________ DISCLOSURE STATEMENT COMES NOW _________________________, a in the abovecaptioned matter, and in accordance with the order of this Court, making the following disclosure concerning parent companies, subsidiaries, partners, limited liability entity members and managers, trustees, affiliates, or similarly related individuals or entities reportable under the provisions of the S.D. Ala. CivLR 7.1: This party is an individual, or This party is a governmental entity, or There are no entities to be reported, or The following entities and their relationship to the party are hereby reported: Reportable Entity ________________________________ ________________________________ ________________________________ Date Relationship to Party _________________________________ _________________________________ _________________________________ _________________________________ Counsel Signature _________________________________ Counsel for (print names of all parties) _________________________________ Address, City, State Zip Code _________________________________ Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I,____________________________________, do hereby certify that a true and correct copy of the foregoing has been furnished by ___________________________(manner of service, i.e., U.S. Mail, electronic mail, etc.) on this _______ day of _______________ 20____, to: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Date _________________________________ Signature American LegalNet, Inc. www.FormsWorkFlow.com