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West Virginia Civil Case Information Statement Form

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West Virginia Civil Case Information Statement Form
West Virginia Civil Case Information Statement Form
CIVIL CASE INFORMATION STATEMENT
DOMESTIC RELATIONS CASES
IN THE FAMILY COURT OF COUNTY, WEST VIRGINIA
I. CASE STYLE:
IN RE
THE MARRIAGE/CHILDREN OF:
PETITIONER CASE No.
Judge
Street
City State Zip
Phone Number : ( )
Social Security #:
and
Days to
RESPONDENT Answer Type of Service
Street
City State Zip
Phone Number : ( )
Social Security #:
Original and copies of petition enclosed/attached.
SCA-F-103-1 (Revised 12/01)
West Virginia Civil Case Information Statement Form
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