Form Fm-002 - Family Matter Summary Sheet
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1FAMILY MATTER SUMMARY SHEET
This form is used for entering basic information about the case and the parties into court records. You must complete and file this
form with the Clerk when you file your Complaint or Motion. You are not required to give a copy of this form to the other party.
COURT LOCATION (where you are filing this action):
TYPE OF ACTION: (Check one box)
Divorce - Real Estate involved
Divorce - No Real Estate
Parental Rights & Responsibilities (Unmarried parents of child)
Paternity (Determine biological father of child)
Judicial Separation
Foreign Judgment
Other Family Matter
TYPE OF FILING: (Check one box)
Original Proceeding
Post-Judgment Motion:
to Modify
to Enforce
for Contempt
Original Docket # is:
Plaintiff Information: (Person starting the action or if post-judgment, name of person who was the plaintiff in the original case.)
Name: First
Middle
Last
Maiden
Mailing Address:
City
State
Zip
SS Number Disclosure Required on separate form
Gender:
Date of Birth:
Home Telephone:
Work Telephone:
Attorney’s Name:
Bar ID#:
Defendant Information: (Person being served or if post-judgment, name of person who was the defendant in the original case.
Name: First
Middle
Last
Maiden
Mailing Address:
City
State
Zip
SS Number Disclosure Required on separate form
Gender:
Date of Birth:
Home Telephone:
Work Telephone:
Attorney’s Name:
Bar ID#:
Minor Children (of above parties) full name:
Date of Birth:
Gender:
SS Number Disclosure Required
SS Number Disclosure Required
SS Number Disclosure Required
SS Number Disclosure Required
SS Number Disclosure Required
SS Number Disclosure Required
Date:
FM-002, 02/09
Signature of Party or Party’s Attorney
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