Page 1 of 1 Stip DNC Form 9/Rev Aug 2017 IN DISTRICT COURT, COUNTY, NORTH DAKOTA , } Plaintiff, } } CONFIDENTIAL INFORMATION vs. } FORM } . } Civil No. Defendant. } } FULL INFORMATION REDACTED INFORMATION PLAINTIFF: Name: Date of Birth: Year of Birth: Social Security #: XXX-XX- DEFENDANT: Name: Date of Birth: Year of Birth: Social Security #: XXX-XX- FINANCIAL ACCOUNT NUMBERS: Name of Account: Account Number: Last 4 digits: Name of Account: Account Number: Last 4 digits: Name of Account: Account Number: Last 4 digits: Dated this day of , 20 , Plaintiff (Signature of Plaintiff) , Defendant (Signature of Defendant) American LegalNet, Inc. www.FormsWorkFlow.com