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Demand For Inspection Of Corporate Books And Records



DEMAND FOR INSPECTION OF CORPORATE BOOKS AND RECORDS

The undersigned, [Name of shareholder], is the holder of [Number of shares] shares of the common stock of [Name of corporation] and does hereby demand the opportunity to inspect, at the office of the Corporation, the books and records of the Corporation, its stock ledger and the list of its shareholders.
The undersigned does further state that the inspection is sought for a proper purpose, to wit:

[Purpose of inspection]

The undersigned also states that he has never sold nor offered for sale any list of shareholders of any corporation, nor assisted any person in obtaining such a list or record for such purposes.

The requested date and time for inspection is:

[Requested date and time of inspection]

Date:

Time:



Shareholder


STATE OF

COUNTY OF



On before me, , personally appeared,
personally known to me [or proved to me on the basis of satisfactory evidence] to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he / she / they executed the same in his / her / their authorized capacity[ies], and that by his / her / their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal.


0 Signature:


Affiant Known Unknown

ID Produced

(Seal)