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Agency Name Arizona's Official Web Site

Public Records Request

I want information:  Required
My Name (max 25 chars)
My Address
My City, State Zip       Zip:
My Email  Required
My Phone Ex: 555-555-5555
I am requesting information about:
License Number 8 or 12 digit AZ license number ONLY
If your request is not about a license, type in unlicensed
Agent Name
Owner Name
Location Name
Location Address
Location City     Zip:
Documents Requested:
Documents Certified?
I intend to:
1) Sell or resell the documents?
2) Sell or resell any of the information contained in the documents?
3) Use any of the information contained in the public documents to produce a document for sale?
4) Use any of the names or other information from the public documents for the purpose of solicitation?
5) Do you anticipate to receive any monetary gain from either the direct or indirect use of the public documents?
By submitting this form, you agree to pay any associated fees prior to receiving the requested information.
You will be contacted if fees exceed $50.00
To see fees, click on chart--->
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