CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR City/County Located at Case No. Court Address Plaintiff vs. Defendant MOTION TO PERMIT INSPECTION (Rule 16-1009(a)(1)(B) or CJ § 3-1510 (e)(1) or FL § 4-512 (e)(2)) Under Rule 16-1009(a)(1)(B), a party to an action in which a case record is filed and a person who is the subject or is specifically identified in a case record may file a motion to permit inspection of a case record filed in that action that is not otherwise shielded from inspection under the access rules. On in the above matter Date sealed , the shielded the following information Custodian Court documents records: The reason(s) for permitting inspection of the above-referenced information is: VERIFICATION I solemnly affirm under the penalties of perjury that the contents of this Motion are true and correct to the best of my knowledge, information and belief. Date Signature CERTIFICATION OF SERVICE (Rule 16-1009(a)(2)(A) and (B)) I certify that on this day of , 20 , copies of this Motion to Permit Inspection of certain case records were served upon the following parties to this action and each identifiable person who is the subject of the case records, c/o the name and the address set forth below: Date CC-DC 54 (1/2011) Signature Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case No. (Please attach any additional pages that you need). (Note: You must be specific in your identification of information to be inspected, including identifying specifically which documents or portions thereof you believe should be made available. You also must be specific in stating your reasons why you believe the case record, part of a case record, or information contained in a case record is not confidential and subject to inspection). ORDER Whereas the Court has considered the information in the matter, it is therefore ORDERED that the moving party's MOTION TO PERMIT INSPECTION is hereby GRANTED. DENIED. ORDERED, that a copy of this ORDER be served on Date CC-DC 54 (1/2011) Judge Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com