|
|
| District Court |
County
|
|
Judicial District:
|
|
|
|
Court File Number:
|
|
|
|
Case Type:
|
|
vs / and Confidential Information Form
(also known as Form 11.1)
Gen. R. Prac. 11.02
Defendant / Respondent
The information on this form is confidential and shall not be placed in a publicly accessible portion of a file.
NAME SOCIAL SECURITY NUMBER
EMPLOYER IDENTIFICATION
NUMBER AND FINANCIAL ACCOUNT NUMBERS
Plaintiff/Petitioner 1. ___________________________ _____________________________
2. ___________________________ _____________________________
3. ___________________________ _____________________________
Defendant/Respondent 1. ___________________________ _____________________________
2. ___________________________ _____________________________
3. ___________________________ _____________________________
Other Party/Participant 1. ___________________________ _____________________________
(e.g. minor children) 2. ___________________________ _____________________________
Information supplied by: (print or type name of party submitting this form to the court)
Signed:
Attorney Reg. #:
Firm:
Address:
E-mail address:
Date:
CON111 State ENG Rev 7/15 www.mncourts.gov/forms Page of
|