J OHN D . K IN AR D DISTRICT CLERK GALVESTON COUNTY Request for Copies of Documents Date of Request: Style: Name of Document to be copied: Certified Copies Total number of copies: Total price of copies: Non-Certified Copies Case No. ADDITIONAL NOTES TO CLERK: METHOD OF PAYMENT: Cash Check (No personal over $50) Picked up Escrow-Whom: Credit Card/Confirmation #: Mailed Copies are to be: Person requesting copies: Firm Name: Phone #: Contact Person: To obtain certified, non-certified or exemplified copies by mail, return the completed request form and include a self-addressed stamped envelope with the proper postage. (Usually postage consists of one stamp for every five pages) Name and address copies are to be mailed to: Name: Address: City: State: Zip: American LegalNet, Inc. www.FormsWorkFlow.com