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Petitioners Motion To Seal Address And Telephone Number {5DC01}
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Description
PETITIONER222S MOTION TO SEAL ADDRESS AND TELEPHONE NUMBER Form #5DC01 IN THE DISTRICT COURT OF THE FIFTH CIRCUIT- LI HU221E DIVISION STATE OF HAWAI221I Petitioner Respondent Reserved for Court Use Civil No. SS Filing Party/Attorney Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Fax Numbers (Petitioner - leave this box blank) PETITIONER222S MOTION TO SEAL ADDRESS AND TELEPHONE NUMBER DECLARATION I DECLARE UNDER PENALTY OF PERJURY THAT THE FOLLOWING IS TRUE AND CORRECT. l. I am the Petitioner. 2. I am requesting that the Court seal my address and/or telephone number because (state facts why you are making the request): Date: Signature of Petitioner: Print/Type Name(s): Reserved for Court Use COURT ORDER This motion is: GRANTED DENIED Date: Judge: In accordance with the Americans with Disabilities Act , and other applicable State and Federal laws, if you require an accommodation for your. disability when working with a court program, service, or activity please contact the Deputy Chief Court Administrator222s Of037ce at PHONE NO(808) 482-2347, FAX (808) 482-2509, OR TTY (808) 482-2533 at least (10) working days in advance of your hearing, or appointment date. Reprographics (01/10) 5D-P-167 American LegalNet, Inc. www.FormsWorkFlow.com
