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Public Records Reproduction Request Form - Arizona

Public Records Reproduction Request Form Form. This is a Arizona form and can be used in Notary Secretary Of State .
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SECRETARY OF STATE STATE OF ARIZONA PUBLIC RECORDS REPRODUCTION REQUEST FORM A.R.S. 39-121.03 I, the undersigned, hereby request: Check Appropriate box FOR OFFICE USE ONLY Paper Copies  Computer Prinouts Electronic Copies of the following public records: (Please be specific)  COMMERCIAL PURPOSE (see definition on reverse side of this form) I certify that the following statement setting forth the commercial purp ose for which the above- requested public records will be used is true, correct and complete: (Give brief explanation) VERIFICATION I declare that I have read 39-121.03., A.R.S. which is printed on th e REVERSE SIDE of this form and understand the contents therein. Signature of Requesting Party Address City State Zip Telephone Email Address I hereby certify that _________________________________________ personal ly appeared before me and made the above declaration. IN WITNESS WHEREOF, I have he reunto set my hand and affixed my official seal this ______ day of _____________, 20____. Notary Public Commission Expires Name of Technical Support Person if different than above: ________________________________________________________________________ _________ American LegalNet, Inc.1200<<<<<<<<<********>>>>>>>>>>>>> 2 PUBLIC RECORDS REPRODUCTION A.R.S. 39-121.03. REQUEST FOR COPIES, PRINTOUTS OR PHOTOGRAPHS; STATEMENT OF PURPOSE; FEES A. A person requesting copies, printouts or photographs of public recor ds for a commercial purpose shall, upon making such a request, provide a certified statement setting forth the commercial purpose for which the copies, printouts or photographs will be used. Upon being fur nished the verified statement the custodian of such records may furnish reproductions, the charge for whic h shall include the following: 1. A portion of the cost to the state for obtaining the original or cop ies of the documents, printouts or photographs. 2. A reasonable fee for the cost of time, equipment and personnel in pr oducing such reproduction. 3. The value of the reproduction on the commercial market. COMMERCIAL PURPOSE AS ABUSE OF PUBLIC RECORD; DETERMINATION BY GOVERNOR B. If the custodian of a public record determines that the commercial p urpose stated in the verified statement is a misuse of public records or is an abuse of the right to r eceive public records, the custodian may apply to the governor requesting that the governor by executive orde r prohibit the furnishing of copies, printouts or photographs for such commercial purpose. The gover nor, upon application from a custodian of public records, shall determine whether the commercial purp ose is a misuse or an abuse of the public record. If the governor determines that the public record sh all not be provided for such commercial purpose he shall issue an executive order prohibiting the pro viding of such public records for such commercial purpose. If no order is issued within thirty days of th e date of application, the custodian of public records shall provide such copies, printouts or photographs up on being paid the fee determined pursuant to subsection A of this section. CIVIL PENALTY C. A person who obtains public records for a commercial purpose without indicating the commercial purpose or who obtains a public record for a noncommercial purpose and u ses or knowingly allows the use of such public record for a commercial purpose or who obtains a publ ic record for a commercial purpose and uses or knowingly allows the use of such public record for a different commercial purpose or who obtains a public record from anyone other than the custodian of such records and uses them for a commercial purpose shall in addition to other penalties be liable to the state or the political subdivision from which the public record was obtained for damages in the amount of t hree times the amount which would have been charged for the public record had the commercial purpose been stated plus costs and reasonable attorneys fees or shall be liable to the state or the politi cal subdivision for the amount of three times the actual damages if it can be shown that the public record would not have been provided had the commercial purpose of actual use been stated at the time of obta ining the records. DEFINITION OF COMMERCIAL PURPOSE D. As used in this section "commercial purpose", means the use of a pub lic record for the purpose of sale or resale or for the purpose of producing a document containing all or part of the copy, printout or photograph for sale or the obtaining of names and addresses from such pu blic records for the purpose of solicitation or the sale of such names and addresses to another for the purpose of solicitation or for any purpose in which the purchaser can reasonably anticipate the receipt of monetary gain from the direct or indirect use of such public record. Commercial purpose does not mean th e use of a public record as evidence or as research for evidence in an action in a judicial or quasi -judicial body of this state or a political subdivision of this state. American LegalNet, Inc.1200
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