Notice Of Personal Identity Information Within Court Filing

Notice of Personal Identity Information Within Court Filing IN THE CIRCUIT COURT OF STEPHENSON, COUNTY, ILLINOIS TH 15 JUDICIAL CIRCUIT Plaintiff/Petitioner v. Respondent Case No. ________________________________ NOTICE OF PERSONAL IDENTITY INFORMATION WITHIN COURT FILING Pursuant to Illinois Supreme Court Rule 138, this notice accompanies a filing in a civil matter where personal identity information in its entirety is required by law, ordered by the court, or is otherwise necessary to effect disposition of a matter. This Notice, and any attachments thereto, shall be filed under seal and remain confidential, except that it shall be available to the parties, to the court, and to the clerk in performance of any requirement provided by law. (Check the appropriate box(es) below and provide the required personal identity information without redaction): Social Security Number(s): _________________________________________________________ Taxpayer ­ Identification Number(s): _________________________________________________ Birth Date(s): ____________________________________________________________________ Name of Individuals Known to be Minors: _____________________________________________ Driver's License Number(s): ________________________________________________________ Financial Account Number(s): _______________________________________________________ Debit and Credit Card Number(s): ___________________________________________________ Other Information Ordered by the Court, by Order date ______________________, __________: _________________________________________________________________________________ Atty: No: ____________________________ Name: ______________________________ Address: ____________________________ City/State/Zip Code: __________________ Telephone: __________________________ Email Address: ____________________ Pro se 99500 Signature of Attorney or Pro Se Litigant American LegalNet, Inc. www.FormsWorkFlow.com