PlaintiffDefendant(Defendant?s name and address)CLERK OF COURTSignature of Clerk or Deputy Clerk Nancy A. Berryhill A cting Commissioner of Social Security c/o US Attorney 400 E 9th Street, 5th Floor Kansas City, MO 64106-2149Nancy A. Berryhill A cting Commissioner of Social Security c/o Office of the Regional Counsel 601 E. 12th Street, Room 965 Kansas City, MO 64106-2898Nancy A. Berryhill A cting Commissioner of Social Security c/o Office of the Attorney General Civil Division - Department of Justice Washington, DC 20530 (This section should not be filed with the court unless required by Fed. R. Civ. P. 4(l))(name of individual and title, if any)(date) (place)(date)(name)(date)(name of individual)(name of organization)(date)(specify):Server?s signaturePrinted name and titleServer?s address