Public Records Inspection Application Form - City Of Bowling Green, Kentucky Page 2
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1
2ADDENDUM TO
PUBLIC RECORDS INSPECTION APPLICATION
CITY OF BOWLING GREEN, KENTUCKY
1.
Are the requested records to be used for commercial purposes?
Yes _____No.
2.
Please state the commercial purposes for which these records will be used.
Carefully read the following and sign the verification:
Kentucky Revised Statute 61.874 states, it shall be unlawful for a person to obtain a copy of any part of
a public record for a:
(a)
Commercial purpose, without stating the commercial purpose; or
(b)
Commercial purpose, if the person uses or knowingly allows the use of the public record for a
different commercial purpose; or
(c)
Noncommercial purpose, if the person uses or knowingly allows the use of the public record for a
commercial purpose.
According to Kentucky Revised Statute 61.875, a person who violates KRS 61.874 shall be liable to the
City of Bowling Green for damages in the amount of:
(a)
Three (3) times the amount that would have been charged for the public record if the
actual commercial purpose for which it was obtained or used had been stated;
(b)
Costs and reasonable attorney’s fees; and
(c)
Any other penalty established by law.
VERIFICATION
I, __________________________________, state that I have read the forgoing Addendum to Public Records
Inspection Application and that the statements therein are true and correct as I verily believe. I understand that
falsification of this information is subject to penalties set out hereinabove. I also understand that if I am requesting copies
for a commercial purpose, I will be required to pay a fee for the cost of the copies as well as the cost of staff required to
produce a copy of the record or records and cost to the City of the creation, purchase or other acquisition of the public
records.
Signature of Applicant
COMMONWEALTH OF KENTUCKY
)
) ss.
COUNTY OF WARREN
)
SUBSCRIBED AND SWORN to before me by _______________________________________on this
day of ___________________________, 20 ___.
______________________________
NOTARY PUBLIC, STATE AT LARGE, KY
My commission expires: ____________________.
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