Request For Indirect Service

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IN THE FAMILY COURT OF
COUNTY, WEST VIRGINIA
In re: The Marriage / Children of:
___________________, Petitioner, and ___________________, Respondent.
Civil Action No. _____.
Request for Indirect Service on Person Permitted to Withhold Identifying
Information
I, ___________________________, the ___ Petitioner ___ Respondent, have been
informed by court personnel that ________________________________, has been permitted to
withhold identifying information from pleadings and other papers filed in this case. Without
access to such information I am unable to serve pleadings and other papers directly on this
person. Therefore, I request that the Family Court serve the following papers on
____________________________ in the manner indicated below. I have attached copies of
these papers to this request.
Papers to be served are: ____________________________________________________
_____________________________________________________________________________.
Type of service requested is: _______________________________________________.
___
I have paid to the Circuit Clerk’s Office the necessary fees for the type of service I have
requested, and I have attached a copy of my receipt for the payment of those fees.
___
I have qualified for a waiver of fees and costs, and I have enclosed the proof of my
waiver.
Without proof of payment of the fees for service, or proof of waiver of the fees, your
papers will not be served.
_____________________
_______________________
________________
(Print your name.)
Signature
Date
SCA-FC-142 (12/01)
Request for Indirect Service
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