Form Adopted for Optional Use Local Form MAD-0005 (Rev. 6/6/2018) REQUEST FOR RECORDS SEARCH Page 1 of 1 SUPERIOR COURT OF CALIFORNIA COUNTY OF MADERA 40601 R0AD 274, BASS LAKE CA 93604 (559)416-5564 Hon. Joseph A. Soldani, Presiding Judge Hon. Dale J. Blea, Asst. Presiding Judge Bonnie Thomas, Court Executive Officer/Jury Commissioner Amy Downey, Asst. Court Executive Officer REQUEST FOR RECORDS SEARCH FEES: A $15.00 search fee per name in required at the time your request is submitted. $.50 fee will be charged for each copy requested. $25.00 fee will be charged for each certified copy requested in addition to the copy fee. $15.00 fee will be charged for each certified copy of Dissolution Judgment. Self-addressed, stamped envelope is also required to mail your copies to you. Cash, check or money order is required with your request. PURPOSE OF REQUEST: RECORDS TO BE SEARCHED: Criminal Traffic Small Claims Probate Civil Family Law Please indicate the year(s) you wish searched: Case # Date of Violation Name(s) Date of Birth: Court Name/ Number: Violation(s): Other Information: NOTE: 1) If you provide the case number(s), your request may be processed at the time of submission. 2) If you do not provide the case number(s), your request will take up to three (3) weeks to process. You may contact this office after one (1) week regarding the results of the record(s) search. DATE: SIGNATURE Requestor222s Name Address Phone Number American LegalNet, Inc. www.FormsWorkFlow.com