Request For Search And Or Case Number

REQUEST FOR SEARCH AND / OR CASE NUMBER Date of Request____________________________ Date Type of Case______________________________ Case Type Name(s) of Plaintiff(s): _________________________________________ Plaintiff Name _________________________________________ Plaintiff Name Plaintiff Name _________________________________________ _________________________________________ Plaintiff Name Customer Name Person Requesting _________________________ Years to be Searched Beginning Yr. to __________ __________ Ending Yr. Name(s) of Defendant(s): _________________________________________ Defendant Name _________________________________________ Defendant Name Defendant Name _________________________________________ _________________________________________ Defendant Name Any search for 5 years or more must be left for 24 hours. All searches are subject to a fee of $1.00 per year, per name. Search fees must be paid in advance. If information is to be sent to you, please indicate an address below: _____________________________________________________________________________________ Address _____________________________________________________________________________________ Request taken by:________________________________ Additional information may be written on the back of this request. Rev 2/05 American LegalNet, Inc. www.FormsWorkFlow.com