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Voter Registration Public Service / Sunshine Law Request Form

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Voter Registration Public Service / Sunshine Law Request Form

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Public Service / Sunshine Law Request
Request for Voter Registration Data
Name (Print): ________________________________________________________________________
Address: ____________________________________________________________________________
City, State & Zip: _____________________________________________________________________
Telephone Number: __________________________________________________________________
Email Address: _______________________________________________________________________
Mail or Fax request to the Taney County Clerk (Custodian of Records)

Taney County Clerk FAX Number: Phone Number:
PO BOX 156 417-546-2519 417-546-7249
Forsyth, Mo 65653
Please include detailed description of your request for voter registration data :
The Sunshine Law does not require a government body to create a new record, but only provide access
to existing records held or maintained by the governmental body.

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

NOTICE OF APPROPRIATE USE
**MUST READ & SIGN BEFORE REQUEST IS VALID**
Section 115.158 RSMo prohibits commercial use of Centralized Voter Registration System Information.
The statute states: “…Any information contained in any state or local voter registration system, limited to
the master voter registration list or any other list generated from the information, subject to chapter 610,
RSMo, shall not be used for commercial purposes; provided, however, that the information may be used for
elections, for candidates, or for ballot measures, furnished at a reasonable fee. Violation of this section shall
be a class B misdemeanor.” "Commercial purposes" means the use of a public record for the purpose of sale or resale or for the purpose
of producing a document containing all or part of the copy, printout, or photograph for sale or the obtaining of names and addresses from public
records for the purpose of solicitation or the sale of names and addresses to another for the purpose of solicitation or for any purpose in which the
purchaser can reasonably anticipate the receipt of monetary gain from the direct or indirect use of the public record.
By your signature below, you represent that you will not use, nor will you knowingly or negligently
permit others to use this information for commercial purposes.

_____________________________________ _______________________________
Signature Date

Request taken by: ______________________________________________________ Deputy Clerk.

Date Paid:___________ Amount Pd.: _______How Pd.: Check/Cash _________ Recvd. By: ___________

Voter Registration Public Service / Sunshine Law Request Form

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