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Last updated: 2/22/2010
Confidential Disclosure Of Personal Identifiers
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Description
MARIETTA MUNICIPAL COURT Civil / Small Claims CONFIDENTIAL DISCLOSURE OF PERSONAL IDENTIFIERS Supreme Court of Ohio, Rules of Superintendence, Rule 45(D) Complete all applicable information (PLEASE PRINT) Case Number______________________ Defendant 1 Name____________________________________ Defendant 2 Name____________________________________ SSN_______________________ SSN_______________________ ************************************************************************ Employer ID Number_____________________________________________________ Employee ID Number_____________________________________________________ Bank Name_______________________ Bank Name_______________________ Account No_________________________ Account No_________________________ Other Information_________________________________________________________ ________________________________________________________________________ ************************************************************************ Submitted By____________________________ Date____________________________ 6/25/09 American LegalNet, Inc. www.FormsWorkFlow.com
