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LIBERTY COUNTY MAGISTRATE COURT STATE OF GEORGIA RECORD’S REQUEST FORM Name of Person requesting records: Organization or Firm: Position or Title: Plaintiff’s/Prosecutor’s Full Name: Defendant’s/Accused Full Name: Case Number: Description of Record(s): Date: Signature of person requesting records Contact number(s): FOR OFFICE USE ONLY: Request Approved (by: Request Denied (by: Date completed: Reason: I, personally gave a copy of the above requested record(s) on Person Receiving Record(s) Deputy Clerk / Clerk