SignatureSignature of Party Servingvs.PlaintiffDefendantMOTION TO SEAL OR OTHERWISE LIMIT INSPECTION OF A CASE RECORDCC-DC-053 (Rev. 12/2018)(Md. Rule 16-912(a)(1)(A)) I hereby move, under Md. Rule 16-912(a)(1)(A), and on the grounds and authorities stated below,to seal or otherwise limit inspection of the following records, or parts of records, that are not otherwiseshielded from inspection under the Rules or other applicable law.My name is , and I am a party to this action. a personpermitted to intervene as a party. a person subject of or specifically identified in the case.The specific records or parts of records that should not be subject to public inspection are:I do do not believe that immediate, substantial and irreparable harm will result to me or the person Iam seeking relief on behalf of if these records, or parts of records, are not immediately sealed, orimmediately made unavailable for public inspection, before a full adversary hearing can be held. If Ibelieve such harm will result, the specific reasons for my belief are:AFFIDAVITI solemnly affirm under the penalties of perjury that the contents of the foregoing paper are true to the bestof my knowledge, information, and belief.DatePrinted NameTelephone NumberFaxE-mailAddressCity, State, ZipPlease attach any additional pages that you need. (Note: You must be specific in your identification ofinformation to be sealed, including identifying specifically which documents or portions thereof you believeshould be sealed. You also must be specific in stating your reasons why you believe the case record, partof a case record, or information contained in a case record is confidential and not subject to inspection.)CERTIFICATE OF SERVICE I certify that I served a copy of this motion upon all parties to the action and each identifiable personwho is the subject of the case record by mailing first class mail, postage prepaid hand delivery, on to:NameDateAddressDateNameAddress CIRCUIT COURT DISTRICT COURT OF MARYLAND FORLocated at Case No.Court AddressCity/CountySTATE OF MARYLANDOR The specific facts why these records or parts of records should be prevented or limited from publicinspection are:CPF ID No. American LegalNet, Inc. www.FormsWorkFlow.com