Free SAMPLE - Minnesota


File Size: 19.6 kB
Pages: 1
Date: January 31, 2008
File Format: PDF
State: Minnesota
Category: Court Forms - Federal
Author: lang
Word Count: 156 Words, 989 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.mnd.uscourts.gov/FORMS/ecfforms/08RefListSample.pdf

Download SAMPLE ( 19.6 kB)


Preview SAMPLE
UNITED STATES DISTRICT COURT
DISTRICT OF MINNESOTA
REFERENCE LIST OF PERSONAL DATA IDENTIFIERS FILED UNDER SEAL PURSUANT TO THE Fed. R. Civ. P. 5.2 and Fed. R. Crim. P. 49.1

[Plaintiff's Name] Plaintiff(s) v. [Defendant's Name] Defendant(s)

Case Number: [Case Number]

The following personal identifiers have been redacted pursuant to the Fed. R. Civ. P. 5.2 and Fed. R. Crim. P. 49.1. Below is a listing of the complete personal data identifier and its corresponding partially redacted version. The redacted version will be used in lieu of, and shall be construed to refer to, the corresponding complete identifier in filings in the above referenced case.

Description of Data Redacted Social Security Number Financial Account Number Name of Minor Child Date of Birth Home Address (criminal cases only)

Complete Identifier 123-45-6789 987-66-54-321 Jane Doe 07-04-2004 123 Main St Smithville, MN 12345

Partially Redacted Identifier XXX-XX-6789 XXX-XX-X4-321 J.D. 2004 Smithville, MN