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2. Once request form is completed, please submit below.
   If you have any questions, please contact the Shelby County Probate Office at (205) 670-5210

4. Professional Attorney Name (as listed with your local bar association):*
6. Business Mailing Address:*
8. Remittance Address (if different from mailing address):
10. Business Telephone Number:*
11. Mobile Telephone Number:*
13. Fax Number:
14. Email Address:*

16. Certification:  Under penalties of perjury, I certify that I am a licensed attorney in good standing engaged in the practice of law.

18. Signature:*
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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