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Request Form For Internet Image Removal - Florida

Request Form For Internet Image Removal Form. This is a Florida form and can be used in Official Records Lake Local County .
 Fillable pdf Last Modified 5/24/2010
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Request Form For Internet Image Removal Date:________________________ Requestors Name:____________________________________________________________ Phone Number: (optional)______________________________________________________ For Blocking Official Record Images Instrument Number/Book and Page Number/Document Type For Blocking Court Record Images Case Number/Document Name/Page Number For Official Use Only: Date Request Received:________________________ Date Request Completed:_______________________ Clerk Processing Request:______________________Please complete and mail or fax form to: Recording Division, Lake County Clerk of Circuit Court,122 E. Main Street, Post Office Box 7800,Tavares, FL 32778-7800FAX: (352) 253-2616
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