Declaration That Party Was Unable To File In A Timely Manner {4}

FORM 4 STATE OF INDIANA COUNTY OF LAKE _______________________, Plaintiff(s), v. _______________________, Defendant(s). ) ) SS: ) ) ) ) ) ) ) ) ) ) IN THE LAKE CIRCUIT/SUPERIOR COURT CASE NO. __________________________ DECLARATION THAT PARTY WAS UNABLE TO FILE IN A TIMELY MANNER Please take notice that ______________________ was unable to file _____________________ in a timely manner due to technical difficulties. The deadline for filing the ________________________ was _______________. The reason(s) that I was unable to file the ________________________ in a timely manner and the good faith efforts I made prior to the filing deadline to both file in a timely manner and to inform the Court and the other parties that I could not do so are set forth below. [Statement of reasons and good faith efforts to file and to inform] I declare under penalty of perjury that the foregoing is true and correct. s/[Name of Password Registrant] Name of Password Registrant Address City, State, Zip Code Phone: XXX-XXX-XXXX Fax: XXX-XXX-XXXX E-mail: XXX@XXX.XXX 27 S:\Website Files\Projects\Local Rules Originals\lake\LAKE CO1 RULES OF CIVIL PROCEDURE 01 27 10.doc American LegalNet, Inc. www.FormsWorkFlow.com