IN THE 11th JUDICIAL CIRCUIT COURT, ST. CHARLES, MISSOURI Judge or Division: Petitioner: Case Number: Newspaper Name/Address St Charles Business Record 125 N. Main St. Ste. 100 St. Charles, MO 63301 St. Charles County Journal 330 N. Main St. Ste. 202 St. Charles, MO 63301 (Date file Stamp) SSN (last four digits): Respondent: SSN (last four digits): Application and Order for Service by Publication of Notice Application for Order of Publication The Petitioner, in person by attorney states that: One or more persons to be served are (unknown) or (their names are unknown), and such persons are (heirs) (grantees)(successors) of _________________________________________________________________ the person to whom the property to be affected by this litigation was last known to have been transferred. OR Services cannot be obtained on respondent(s) __________________________________________________________ under Rules 54.12 (b), 54.13, 54.14 or 54.16 for the reason(s) that: _______________________________________________________________________________________________ _______________________________________________________________________________________________ AND The last known address of the party to be served is: _______________________________________________________________________________________________ (If address is unknown, state "unknown") The petitioner, pursuant to Rule 54.12 (c), asks that an order be entered for Service by Publication in the newspaper name above. _____________________________________________ Petitioner/Petitioner's Attorney Subscribed and sworn to before me _________________________ (date). _____________________________________________ Clerk Order for Service by Publication of Notice Upon the Verified Statement of ____________________________________________ it is ordered that the respondent __________________________________________________ be served by publication of notice according to Rule 54.12(c). ________________________________________ Date _____________________________________________ Judge/Clerk OSCA (1-95) CV20 1 Rule 54.12 506.160 RSMo American LegalNet, Inc. www.FormsWorkFlow.com