Bob Inzer Clerk of Circuit Court WWW.CLERK.LEON.FL.US Clerk of Courts Clerk of County Commission Auditor Treasurer Recorder Custodian of County Funds Rev. 07/19/2010 Court Records Request pursuant to Fla. R. Jud. Admin. 2.420(f) Date of Request: Case # (Indicate the case number you wish to access.) Party Name: (If you do not know the case number, indicate the name of the party whose case you wish to access.) Date of Birth: SELECT ONE: I want to inspect entire file Alias: I want a copy of the entire file I wish to inspect/have copies of the following documents (be specific): _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ The following information is not required unless information cannot be provided immediately: Name of Requestor: Address & Phone #: _____________________________________________________________________________________ BELOW THIS LINE FOR CLERK STAFF ONLY Staff filling request: __________ Date Request filled: __________ Check if file is checked out; customer to be called when copies/file are ready Check if documents cannot be provided; provide court rule/statute that provides exemption: ________________ _____________________________________________________________________________________________ CHARGES PER FS 28.24: # of copies/$0.15 (blank forms): # of copies/$1.00 (court documents): __________ __________ # of years searched/$2.00: # of certifications/$2.00: # of papers written/$7.00: __________ __________ __________ Charge to Escrow Acct (enter code): ___________________ Total Amount: $_______________ P. O. Box 726 TALLAHASSEE, FL 32302-0726 PHONE (850) 577-4000 www.clerk.leon.fl.us American LegalNet, Inc. www.FormsWorkFlow.com