LSC CASE DISCLOSURE SEMIANNUAL REPORTING FORM FOR: ___________________

(REQUIRED BY 505 of Pub. L. 105-119 and 45 CFR 1644)

 

CASE # ASSIGNED BY COURT NAME OF CLIENT(S) ADDRESS OF CLIENT(S) NAME OF OPPOSING PARTY(IES) ADDRESS OF OPPOSING PARTY(IES) CAUSE OF ACTION NAME OF COURT ADDRESS OF COURT
               
               
               
               
               
               
               
               
               

 

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