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Print Form Appendix XII-B1 FOR USE BY CLERK S OFFICE ONLY CIVIL CASE INFORMATION STATEMENT PAYMENT TYPE CHG/CK NO. CIS Use for initial Law Division Civil Part pleadings not motions under Rule 4 5-1 Pleading will be rejected for filing under Rule 1 5-6 c if information above the black bar is not completed or attorney s signature is not affixed ATTORNEY / PRO SE NAME TELEPHONE NUMBER Clear Form CK CG CA AMOUNT...
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nj case information statement
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