Appearance by a Self-Represented Litigant in a Civil Case
STATE OF INDIANA
SS:
DELAWARE COUNTY
IN THE DELAWARE CIRCUIT
COURT NO.
Plaintiff
v.
Defendant
CAUSE NO. 18C0
1. My Name:
2. My Address:
3. My telephone number:
4. My fax number:
5. My e-mail address:
6. I will accept service from other parties by:
FAX at the above noted number: Yes
No
Email at the above noted address: Yes
No
7. This case involves child support issues: Yes
No
(If yes, supply Social Security Numbers for all family members on a separately
Attached document filed as confidential information on light green paper. Use
Form TCM-TR3.1-5.)