Form 171-403 "Notice of Confidential Information Within Court Filing (Civil)" - Lake County, Illinois

What Is Form 171-403?

This is a legal form that was released by the Circuit Court Clerk’s Office - Lake County, Illinois - a government authority operating within Illinois. The form may be used strictly within Lake County. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2017;
  • The latest edition provided by the Circuit Court Clerk’s Office - Lake County, Illinois;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 171-403 by clicking the link below or browse more documents and templates provided by the Circuit Court Clerk’s Office - Lake County, Illinois.

ADVERTISEMENT
ADVERTISEMENT

Download Form 171-403 "Notice of Confidential Information Within Court Filing (Civil)" - Lake County, Illinois

Download PDF

Fill PDF online

Rate (4.7 / 5) 41 votes
IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
)
)
)
Plaintiff(s)
)
vs.
)
)
)
Gen No.
)
Defendant(s)
)
NOTICE OF CONFIDENTIAL INFORMATION WITHIN COURT FILING (CIVIL)
Pursuant to Illinois Supreme Court Rule 138(c), the filer of a document containing personal identity information
required by law, ordered by the court, or otherwise necessary to effect disposition of a matter shall, at the time of such filing,
include this confidential information form which identifies the personal identity information redacted from such filing pursuant
to Rule 138(c), and which will be redacted from future filings to protect the subject personal identity information. This
personal identity information will not be available to the public and this document will be stored in a separate location from
the case file.
Party/Individual Information:
1.
Name:
_____________________________________________________________________________
Address:
_____________________________________________________________________________
_____________________________________________________________________________
Phone:
_____________________________________________________________________________
SSN:
_____________________________________________________________________________
Other personal identity information as defined in Rule 138(b), to the extent applicable:
___________________________________________________________________
(Attach additional pages, if necessary.)
2.
Name:
_____________________________________________________________________________
Address:
_____________________________________________________________________________
_____________________________________________________________________________
Phone:
_____________________________________________________________________________
SSN:
_____________________________________________________________________________
Other personal identity information as defined in Rule 138(b), to the extent applicable:
___________________________________________________________________
(Attach additional pages, if necessary.)
3. Items of personal identity information are Social Security and individual taxpayer-identification numbers, driver’s
license numbers, financial account numbers; and debit and credit card numbers.
4. A redacted filing of personal identity information for the public record is permissible and shall only include the last
four digits of the Social Security or individual taxpayer-identification number, the last four digits of the driver’s license
number, the last four digits of the financial account number; and the last four digits of the debit and credit card
number.
5. After the initial impounded filing of the personal identity information, subsequent documents filed in the case shall
include only redacted personal identity information with appropriate reference to the impounded document
containing the personal identity information.
#171-403 (Rev. 12/17)
IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
)
)
)
Plaintiff(s)
)
vs.
)
)
)
Gen No.
)
Defendant(s)
)
NOTICE OF CONFIDENTIAL INFORMATION WITHIN COURT FILING (CIVIL)
Pursuant to Illinois Supreme Court Rule 138(c), the filer of a document containing personal identity information
required by law, ordered by the court, or otherwise necessary to effect disposition of a matter shall, at the time of such filing,
include this confidential information form which identifies the personal identity information redacted from such filing pursuant
to Rule 138(c), and which will be redacted from future filings to protect the subject personal identity information. This
personal identity information will not be available to the public and this document will be stored in a separate location from
the case file.
Party/Individual Information:
1.
Name:
_____________________________________________________________________________
Address:
_____________________________________________________________________________
_____________________________________________________________________________
Phone:
_____________________________________________________________________________
SSN:
_____________________________________________________________________________
Other personal identity information as defined in Rule 138(b), to the extent applicable:
___________________________________________________________________
(Attach additional pages, if necessary.)
2.
Name:
_____________________________________________________________________________
Address:
_____________________________________________________________________________
_____________________________________________________________________________
Phone:
_____________________________________________________________________________
SSN:
_____________________________________________________________________________
Other personal identity information as defined in Rule 138(b), to the extent applicable:
___________________________________________________________________
(Attach additional pages, if necessary.)
3. Items of personal identity information are Social Security and individual taxpayer-identification numbers, driver’s
license numbers, financial account numbers; and debit and credit card numbers.
4. A redacted filing of personal identity information for the public record is permissible and shall only include the last
four digits of the Social Security or individual taxpayer-identification number, the last four digits of the driver’s license
number, the last four digits of the financial account number; and the last four digits of the debit and credit card
number.
5. After the initial impounded filing of the personal identity information, subsequent documents filed in the case shall
include only redacted personal identity information with appropriate reference to the impounded document
containing the personal identity information.
#171-403 (Rev. 12/17)
6. The clerk, the parties, and the parties’ attorneys may prepare and provide copies of documents without redaction
to financial institutions and other entities or persons which require such documents. The filing of a separate
document without redaction is not necessary or required.
7. If a document or exhibit is filed containing personal identity information, a party or any other person whose
information has been filed may move that the court order redaction and confidential filing. The motion requesting
redaction of a document in the court file shall have attached a copy of the redacted version of the document.
8. If the court finds the inclusion of personal identity information in violation of this rule was willful, the court may award
the prevailing party reasonable expenses, including attorney fees and court costs.
Prepared by:
Name: ____________________________________ Pro Se
Address: __________________________________________
City: ______________________________ State: __________
Phone: ______________________Zip Code: _____________
ARDC #: __________________________________________
E-mail address: _____________________________________
#171-403 (Rev. 12/17)
Page of 2