Fillable DEPARTMENT OF CODE ENFORCEMENT PUBLIC RECORDS (APRA) REQUEST (City of South Bend)

Fill Online, Printable, Fillable, Blank DEPARTMENT OF CODE ENFORCEMENT PUBLIC RECORDS (APRA) REQUEST (City of South Bend) Form

Use Fill to complete blank online CITY OF SOUTH BEND (IN) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

DEPARTMENT OF CODE ENFORCEMENT PUBLIC RECORDS (APRA) REQUEST (City of South Bend)

On average this form takes 4 minutes to complete

The DEPARTMENT OF CODE ENFORCEMENT PUBLIC RECORDS (APRA) REQUEST (City of South Bend) form is 1 page long and contains:

  • 0 signatures
  • 12 check-boxes
  • 12 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of South Bend

BROWSE CITY OF SOUTH BEND (IN) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
DEPARTMENT OF CODE ENFORCEMENT
PUBLIC RECORDS
(APRA) REQUEST
CITY OF SOUTH BEND
Name of Requesting Party:
Address:
City:
State:
Zip:
Telephone:
Date of Request:
Time of Request:
Submitted (check one):
□
In Person
□
Mail, Email or Facsimile
Signature of Requesting Party:
Property Address of Information Requested:
Records requested - please be specific:
List of Violations Hearing Results Copies of Pictures Outstanding Invoices*
* Invoice records do not constitute a payoff. If you require a payoff of all assessments, please complete a “Payoff Request Form."
Other (be specific): ________________________________________________________________________________________
Check one: I request to INSPECT or BUY copies of the records requested.
Check one: I request to receive my records by: in-person pick-up; or REGULAR MAIL; or EMAIL; or FAX
Request Received By:
Department:
Date and Time Received:
Acknowledged Receipt:
□ Email □ Telephone □ In Person Acknowledgement Form
Department Comments:
__________________________________________________________________________________________________________
________________________________________
__________________________________________________________________
ATTORNEY DECISION
INFORMATION IS ______DISCLOSABLE INFORMATION IS NOT DISCLOSABLE _______
Attorney Comments
and Instructions: __________________________________________________________________________
________________________________________
__________________________________________________________________
Attorney Signatu
re: __________________________________________ Date of Decision: ____________________________
Letter sent (Date): Decision Sent To: Date: By:
Informed requesting Party that information is ______ DISCRETIONARY DISCLOSURE or _______ NON-DISCLOSABLE
Date: Signature: □ In Person □ By Telephone □ By Email
********** DEPARTMENTS MUST SUBMIT REQUESTS TO THE LEGAL DEPARTMENT
(apra@southbendin.gov) ON THE DAY OF RECEIPT***************
CITY OF SOUTH BEND USE ONLY
Click to Clear Form
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

DEPARTMENT OF CODE ENFORCEMENT PUBLIC RECORDS (APRA) REQUEST (City of South Bend)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document