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Information Statement to the Circuit Court

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IN THE CIRCUIT COURT OF , MISSOURI

Judge or Division:

Case Number:

Petitioner:

MACSS Case ID:

SSN/DOB:

Employer/Payor Name:

vs.

Respondent:

Employer/Payor Address:

SSN/DOB:

(Date File Stamp)

Voluntary Income Assignment

To: Employer Payor:

I, , Intervenor Petitioner Respondent,

assign, transfer and set over part of my income to Intervenor

Petitioner Respondent, in the sum of $ per which includes the

sum of $ per to be applied to an arrearage of $

until such arrearage is paid in full at which time the sum assigned shall be reduced to $ per .

You, the employer payor are directed to issue checks for the amount to be withheld payable to Family Support

Payment Center and mailed to P.O. Box 109001, Jefferson City, MO 65110-9001.

This voluntary income assignment shall become effective once it is served on the employer or payor. I understand that my employer or other payor may withhold an additional $6.00 per month for costs incurred.

Date

Signature of Employee or Payee

Address

Voluntary Income Assignment Certificate of Service

I certify swear or affirm that a copy of this document was mailed personally served on (date)

by registered mail postage prepaid certified mail postage prepaid certified mail return receipt required to

Date

Signature

Note:

The petitioner, respondent or attorney should cause this voluntary income assignment to be served on the employer. The circuit clerk does not mail or serve a voluntary income assignment.

Service may be shown by acknowledgement of receipt, affidavit or by written certificate of counsel making such service.

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What an Information Statement to the Circuit Court Is

The Information Statement to the Circuit Court is a formal written disclosure filed with a circuit court to present factual, procedural, or administrative information relevant to a pending case. Typical uses include listing parties, financial data, service history, case-related timelines, jurisdictional facts, or contact details the court needs to manage the docket. It is not a pleading that requests relief but supports the court’s administration and case management. Depending on the jurisdiction, the filing may be governed by local rules, require signature under penalty of perjury, and become part of the official case record.

Why an Information Statement Matters for Case Management

An Information Statement clarifies case facts for judges and clerks, streamlines docket management, and reduces procedural delays by supplying consistent contact, timeline, and jurisdictional data. Accurate statements limit follow-up orders, preserve evidence trails, and support compliance with local court rules and scheduling requirements.

Why an Information Statement Matters for Case Management

Who Typically Prepares and Files These Statements

Typical filers include attorneys, pro se litigants, court clerks, and administrative staff preparing case management filings for circuit court dockets.

  • Civil litigants and defense counsel preparing jurisdictional or party-identification disclosures.
  • Probate and family law practitioners filing case background, contact details, or asset summaries.
  • Clerks and administrative staff using statements for scheduling, service confirmation, or docket updates.

Accurate, complete filers reduce administrative burden, help courts enforce deadlines, and minimize the risk of sanctions or re-filing.

Core Elements to Include in a Professional Information Statement

A professional Information Statement organizes critical case facts, provides verifiable identifiers, and follows local court formatting to ensure the clerk and judge can act on the information promptly.

Caption

Include the case caption with court name, case number, assigned judge, and filing party. Use the exact caption format required by the circuit court's local rules to avoid processing delays.

Party Details

List each party's full legal name, role (plaintiff/defendant), mailing address, telephone number, and counsel contact. Ensure names match government IDs and previous filings to prevent identity disputes.

Statement of Facts

Provide a concise chronology of relevant events, dates in MM/DD/YYYY format, and factual statements limited to what is known. Avoid argumentative language or legal conclusions.

Document List

Attach or list supporting exhibits such as contracts, notices, receipts, or correspondence. Identify each exhibit by letter or number and note the date and page references for quick review.

Verification

Include a signed verification block with the declarant's printed name, signature, date, and a statement under penalty of perjury when local rules require it; include notary details if applicable.

Service Statement

Describe how and when other parties were served, list method used (personal service, mail, electronic), and attach proof of service or certificate if the court requires one.

Required Information and Standard Field Entries

Full Legal Name: Exact name as on government ID
Case Number: Court-assigned docket number required
Contact Info: Mailing address, phone, and email
Dates: Use MM/DD/YYYY for all dates
Exhibit List: Label exhibits, include dates
Signature: Signer printed name, signature, date

Step-by-Step: Prepare and File an Information Statement

Follow these steps to prepare and file an Information Statement accurately with the circuit court to avoid processing delays or returns.

  • 01
    Prepare Caption: Enter court name, case number, and judge.
  • 02
    Compile Facts: Draft concise, date-stamped factual chronology.
  • 03
    Attach Exhibits: Label and reference each supporting document.
  • 04
    Sign and File: Sign under penalty of perjury and submit.

How to Configure an Online Statement Workflow

Configuring an online Information Statement streamlines field completion, enforces required formats, and automates routing to the clerk or counsel for signature.

Field Configuration
Upload Format PDF or DOCX accepted; PDF preferred.
Magic Field Detection Auto-detects names, dates, and addresses.
Conditional Fields Show fields based on prior answers.
Signer Authentication Email, SMS code, or KBA options.

Where to File and Typical Routing Steps

This sequence shows typical routing: prepare, serve opposing parties, file with the clerk, and confirm docket entry per local rules.

  • Prepare: Finalize statement, attach exhibits, and complete verification.
  • Serve Parties: Deliver via allowed service method and retain proof.
  • File Clerk: File physically or electronically per the court's filing rules.
  • Confirm: Check docket for entry and service notices.

Distribution Methods and Platform Considerations

Courts accept filings physically, via local electronic filing systems (e-filing), or in some jurisdictions by email or certified e-service depending on local rules.

  • E-filing: Use court's electronic portal when available.
  • Clerk's Office: Deliver paper copies per local copy requirements.
  • Email/Service: Only when permitted; preserve proof.

Timelines, Deadlines, and What to Expect

Deadlines vary by case type and local rules; timely service and filing are essential to avoid sanctions, delay, or default judgments.

Service and Filing Timing:

Follow local rules; often file within 30 days of service.

Proof of Service Deadline:

File proof of service promptly to confirm notice.

Responses and Objections Timing:

Opposing party typically has set days to respond per rule.

Clerk Processing Periods:

Processing time depends on court workload; expect several days.

Sanctions and Default Risks:

Late or missing filings can lead to sanctions or default.

Common Mistakes to Avoid When Preparing the Statement

  • Failing to match party names with prior filings or government IDs causes identity disputes and may require amended statements or additional notarized affidavits.
  • Submitting exhibits without clear labels, dates, or page references makes review slow and increases the chance the clerk will request clarification or reject attachments.
  • Using argumentative language or making legal conclusions turns an administrative statement into a contested pleading and may violate local formatting or content rules.
  • Neglecting service proof or failing to file a verification block under penalty of perjury where required can lead to motions to strike or evidentiary challenges.

Penalties and Risks from Incorrect or Incomplete Statements

Return/Rejection: Clerk may return document
Sanctions: Court can impose fines
Delay: Case scheduling postponed
Evidentiary Risk: Loss of credibility
Default Exposure: Risk of default judgment
Contempt: Possible contempt proceedings

Frequently Asked Questions About Filing an Information Statement

Answers to frequent questions about preparing, signing, notarizing, and filing an Information Statement to the Circuit Court in U.S. jurisdictions.


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