Order Allowing Alternative Form Of Service Page 2

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G
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By posting on the bulletin board at the Marion County Courthouse for not less than 14
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days; or
G
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As follows: __________________________________________________________
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____________________________________________________________________________
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Dated:_________________
_______________________________
Circuit Court Judge
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_______________________________
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Print, Type or Stamp Name
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Submitted by:
*
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______________________________________
Attorney/Petitioner’s Name Bar No. (if any)
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*
_____________________________________
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Address
*
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______________________________________
City
State Zip
Phone No.
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*
______________________________________
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Trial Attorney if other than above
Bar No.
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*Certificate of Document Preparation
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If this document was not completed by an attorney, I hereby certify that the following statements
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are true: (check all boxes and complete all blanks that apply)
G
A.
I selected this document for myself, and I completed it without paid assistance.
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G
B.
I paid or will pay money to _________________ for assistance in preparing this
form/document
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*
__________________________
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Signature
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ORDER ALLOWING ALTERNATIVE FORM OF SERVICE - Page 2 of 2
FC(3/1/04)(Form 13M)
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