OSCA (10-18) CV140 (C140) 1 of 1 IN THE JUDICIAL CIRCUIT, COUNTY, MISSOURI Judge or Division: Case Number: (Date File Stamp) Petitioner(s): Name(s) of Original Party(ies): vs. Name of Successor(s) /Address: Respondent(s): Court Address: Motion for Substitution It is requested that the court enter an order that the above-named successor be substituted in this action as petitioner respondent in the place of the named original party. The reason for substitution: death (date of death ) incompetency transfer of interest. Date Attorney for Petitioner Respondent/MO Bar # Notice of Hearing on Motion To the petitioner(s), respondent(s), and successor party: You are notified that a hearing on this motion will be held before the above-named judge or in the above-name division on (date) at (time). If you have a disability requiring special assistance for your court appearance, please contact the court at least 48 hours in advance of scheduled hearing. Date Attorney for Petitioner Respondent/MO Bar # Sheriff222s or Server222s Return I certify that I served this motion for substitution and notice of hearing on motion by: (check one) delivering a copy of the motion for substitution and notice of hearing at the dwelling place or usual abode of the petitioner respondent with , a person of the petitioner222s respondent222s family over the age of 15 years who permanently resides with the petitioner respondent. (for service on corporation) delivering a copy of the motion for substitution and notice of hearing to (name) (title) at (address). other: . Served in (County/City of St. Louis), MO, on (date) at (time). Sheriff222s Fees (if applicable) Service Fee $ Sheriff222s Deputy Salary Supplemental Surcharge $ 10.00 Mileage $ ( miles @ $. per mile) Total $ Sheriff or Server American LegalNet, Inc. www.FormsWorkFlow.com