Demand for Inspection of Corporate Books and Records : Please fill out the following form. Please print your completed form if you would to have a copy for your records.
The undersigned (Name of the stockholder signing this form) is the holder of (Number of shares) shares of the common stock of (Name of the stock) 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:
(The Purpose for which the corporate records are inspected.)
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 forsuch purposes.
The requested date and time for inspection is:
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.
Affiant : Known / Unknown
ID Produced :
Affidavits Forms Index
Demand for Inspection of Corporate Books and Records
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