FORM 3 STATE OF INDIANA COUNTY OF LAKE _______________________, Plaintiff(s), v. _______________________, Defendant(s). ) IN THE LAKE CIRCUIT/SUPERIOR COURT ) SS: ) ) ) ) ) ) ) ) ) ) CASE NO. __________________________ CERTIFICATE OF SERVICE I hereby certify that on __(date)_______ I (a) electronically filed the foregoing document(s) with the Clerk of the Court using the Lake County Online Docket Electronic Filing System which sent notification of such filing to the following parties or attorneys who are registered for electronic filing and service in the case: __________________________________, or (b) I conventionally filed the foregoing document(s) with the Clerk of the Court. I hereby certify that I have mailed copies of the document(s)by United States Postal Service to the following parties or attorneys who are not registered for electronic filing in this case:_______________________________________. Dated:_________________ ________________________________ S:\Website Files\Projects\Local Rules Originals\lake\LAKE CO1 RULES OF CIVIL PROCEDURE 01 27 10.doc American LegalNet, Inc. www.FormsWorkFlow.com