Case Data Information Sheet {FC-3}

PETITIONER: þ RESPONDENT: Name: þ Name: Address: þ Address: þ þ en-USTelephone: en-US(include area code) þ Telephone: en-US(include area code)en-US Email: þ Email: DOB: þ DOB: SSN: þ SSN: Relationship to Respondent: þ Relationship to Petitioner: en-USFor ALL OTHER PARTIES to this case: please list below the name, current address, date of birth (DOB), social security en-USnumber (SSN), and relationship to the Petitioner, of any other parties to this action, or children of the Petitioner or Respondent. en-USIf there is not enough room below, please attach a separate sheet with all the information requested.en-USOTHER PARTIES/CHILDREN: Name: þ Name: Address: þ Address: þ en-USTelephone: en-US(include area code) þ Telephone: en-US(include area code)en-US DOB: þ DOB: SSN: þ SSN: Relationship to Respondent: þ Relationship to Petitioner: Name: þ Name: Address: þ Address: þ en-USTelephone: en-US(include area code) þ Telephone: en-US(include area code)en-US DOB: þ DOB: SSN: þ SSN: Relationship to Respondent: þ Relationship to Petitioner: en-USen-US en-USen-USen-USen-USen-US CIRþcCUIT en-USen-US DISTRIþcCT en-USen-US FAMILY COURT CASE DATA þIINþfFORMATION þSSHEET en-USAOC-FC-3en-USen-USCommonwealth of Kentuckyen-USCourt of Justice en-US www.courts.ky.goven-USen-USen-USen-US þ en-USen-US Petitioner þ en-USen-US Respondenten-USen-USCase #: en-USCounty: en-USen-USNOTICE TO FILING PARTY:en-US en-USA REDACTED en-USen-USen-US lexet justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE en-USen-USen-USen-USSignature of Preparer/Relationship to Petitioneren-USPrint Name: en-USAddress: en-USen-USTelephone: en-US(include area code)en-US American LegalNet, Inc. www.FormsWorkFlow.com