IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS _______________________________________ Plaintiff/Petitioner vs CASE NO: ______________________________ _______________________________________ Defendant/Respondent NOTICE OF CONFIDENTIAL INFORMATION WITHIN COURT FILING Pursuant to Illinois Supreme Court Rule 15, the filer of a court record at the time of filing shall include a confidential information form which identifies the full social security numbers for any individuals whose social security numbers are redacted within the filing. This information will not be available to the public and this document will be stored in a separate location from the court file. Party/Individual Information: 1. Name: _________________________ 3. Name: ____________________________ Address: _______________________ Address: __________________________ _______________________ __________________________ Phone: _________________________ Phone: ____________________________ ______________________________ __________________________________ Social Security Number Social Security Number 2. Name: _________________________ 4. Name: _____________________________ Address: _______________________ Address: ___________________________ _______________________ ___________________________ Phone: ________________________ Phone: _____________________________ ______________________________ ___________________________________ Social Security Number Social Security Number Attorney or Party, if not represented by Attorney Name _____________________________________ ARDC # ___________________________________ Firm Name _________________________________ Attorney for ________________________________ Address ___________________________________ City & Zip _________________________________ Telephone _________________________________ PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY White – Court Yellow – Plaintiff Pink – Defendant 122 Revised (04/12) American LegalNet, Inc. www.FormsWorkFlow.com