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REQUEST FOR CERTIFIED COPY OF COURT RECORD
________
________
________
Telephone: ________
Email: ________
Date: ________
Office of the Clerk of Court
________
________
________
Re: Request for Certified Copy of Final Judgment
To the Clerk of Court:
§ 1. Request. I respectfully request, pursuant to the public records and court access provisions applicable in ________ and to the right of access of a party to the record of his or her own proceeding, that the Clerk furnish me with a certified copy of the final judgment (the “Document”) entered in the matter described below.
§ 2. Identification of the Matter.
(a) Case Style: ________
(b) Case Number: ________
(c) Case Year: ________
(d) Court / Division: ________
(e) Date of Judgment (if known): ________
(f) Parties:
________
§ 3. Standing and Relationship to the Record. The Document requested is directly related to me. I am a party to the action identified above, appearing in the capacity of ________. To the extent any portion of the record is sealed, restricted, or otherwise subject to limited access, this request is made in my capacity as a party entitled to such record.
§ 4. Purpose of Request. The Document is being requested for the following purpose:
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§ 5. Number of Copies. Please provide ________ certified copy(ies) of the Document.
§ 6. Fees and Enclosures. I enclose a self-addressed, stamped envelope for the return of the requested copy. I have included a fee in the amount of $________ (________), tendered by Check. If the actual fee differs from the amount enclosed, I authorize payment of the correct certification and copying charges up to a maximum of $________, and request that any overpayment be refunded to me at the address above.
Respectfully submitted,
________
Signature: ________
Date: ________
Enclosures: Self-addressed stamped envelope; payment of fee.
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