White County Auditor
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Electronic Public Records Request
Section 1-Requestor Information
First Name
Last Name
Email Address
Phone Number
Organization / Company
Street Address
City
State
ZIP Code
Indiana Resident
No
Yes
Section 2-Request Information
Request Title
Records Requested
Department
Administration
Area Plan
Assessor
Auditor
Clerk
Commissioners
Council
Other
Recorder
Treasurer
Record Category
Date Range From
(mm-dd-yyyy)
Date Range To
(mm-dd-yyyy)
Related Case Number
Property Parcel Number
Person / Subject Name
Section 3-Request Options
Request Type
Inspect and Receive Copies
Inspect Records
Receive Copies
Preferred Delivery Method
Email
In-Person Inspection
Mail
Pickup
Portal Download
Electronic Format
Native File
No Preference
PDF
Inspect Records Only
No
Yes
Certified Copies Needed
No
Yes
Section 4-Request Purpose
Request Submitted For
Another Indiana Resident
Another Non-Indiana Resident
Indiana Organization
Myself
Non-Indiana Organization
Purpose of Request
Academic
Civic
Commercial
Journalistic
Other
Personal
Philanthropic
Prefer Not To Answer
Other Purpose
Section 5-Fees
Maximum Fee Approved
Request Fee Waiver
No
Yes
Reason for Fee Waiver
Certification
I certify that the information provided is accurate and understand that fees may apply.
Signature
Click here to sign
Submission Date
(mm-dd-yyyy)
Section 6-Supporting Documents
Attach Document (PDF, JPG, PNG, GIF, TIFF Only)
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