IN THE FAMILY COURT OF In re: The Marriage / Children of:
COUNTY, WEST VIRGINIA
___________________, 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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