Fill and Sign the Complete This Form for All Parties Known at the Time of Filing

Case Number (For Court Use Only) ___________________________ OSCA (10-10) FI-05 C ONFIDENTIAL CASE FILING INFORMATION SHEET – N ON -DOMESTIC RELATIONS I NSTRUCTIONS :  Complete this form for all parties known at the time of filing. Provide the most appropriate Case Type and Party Type codes and descriptions. (Found on the Ca se Types List and Party Types List at www.courts.mo.gov on the Court Forms/Filing Information page.)  If additional space is needed, complete additional Confidential Case Filing Information Sheets. NOTE: The full Social Security Number (SSN) is required pursuant to Missouri Supreme Court Operating Rule 4 if the party is a person; exception can only be granted if the information is not reasonably available. This is a confidential record due to the SSN and possible c onfidential addresses. However, this information is used to open a case in the Missouri State Courts Automated Case Management System. Cases deemed public under Missouri Revised Statutes can be accessed through Case.net. The day and month of birth, SSN, and confidential addresses are NOT provided to the public through Case.net access. Filing Date: County/City of St. Louis: Style of Case: (i.e., In the Estate of; In the Matter of; Petitioner v. Respondent.) Case Type Code: Case Type Description: Party Type Code: Party Type Description: Name (if a person): (Last) (First) (Middle) Organization (if non-person): Address: City: State: Zip: Contact Telephone Number: DOB/DOD: Gender: Male Female SSN: Attorney Name (if represented by counsel): Bar ID: Party Type Code: Party Type Code: Party Type Description: Name (if a person): (Last) (First) (Middle) Organization (if non-person): Address: City: State: Zip: Contact Telephone Number: DOB/DOD: Gender: Male Female SSN: Attorney Name (if represented by counsel): Bar ID: Party Type Code: Party Type Code: Party Type Description: Name (if a person): (Last) (First) (Middle) Organization (if non-person): Address: City: State: Zip: Contact Telephone Number: DOB/DOD: Gender: Male Female SSN: Attorney Name (if represented by counsel): Bar ID: Party Type Code: Submitted by: Bar ID (required if attorney): Address (if not shown above): City: State: Zip: Phone: Email Address: *IMPORTANT: It is the parties’ responsibility to keep the co urt informed of any change of address or employment.*