Free IN THE SUPERIOR COURT FOR THE STATE OF ALASKA - Alaska

Use black ink. Write only on the front of this form. Attach it to the form it relates to at the time that form is filed. ADDITIONAL INFORMATION Case Number: Case Name: Attachment to: Form Name: Form Number: I am the Plaintiff Defendant Petitioner Respondent on page in this case. of the form

The following additional information is for paragraph number named above:

Date

Signature Type or Print Name Mailing Address City Daytime Telephone State ZIP

TF-941 (9/06)(cs)

ADDITIONAL INFORMATION FORM

DO NOT WRITE ON BACK