G-1041 Frm Toc

TABLE OF CHANGES –FORM

Form G-1041, Genealogy Index Search Request

OMB Number: 1615-0096

06/02/2020

Reason for Revision: Fee Rule

Project Phase: OMB Review

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 09/30/2022

Edition Date 09/17/2019

Current Page Number and Section	Current Text	Proposed Text
Page 1 Part 1. Information About You (Requestor)	[Page 1] … 2.a. In Care Of Name (if any) 2.b. Street Number and Name 2.c. Apt./Ste./Flr. Number 2.d. City or Town 2.e. State 2.f. ZIP Code 2.g. Province 2.h. Postal Code 2.i. Country … 4. Requestor's Mobile Telephone Number (if any) 5. Requestor's Email Address (if any) … By my signature, I consent to pay all costs incurred for search, duplication, and review of documents up to $65. (See Form G-1041 Instructions for more information.) …	[Page 1] … 2.a. In Care Of Name 2.b. Street Number and Name 2.c. Apt./Ste./Flr. Number 2.d. City or Town 2.e. State 2.f. ZIP Code 2.g. Province 2.h. Postal Code 2.i. Country … 4. Requestor's Mobile Telephone Number 5. Requestor's Email Address … By my signature, I consent to pay all costs incurred for search, duplication, and review of documents up to $170. (See Form G-1041 Instructions for more information.) …
Page 2, Part 3. Other Information	[Page 2] … 5. List additional information about residences and dates below (if any). …	[Page 2] … 5. List additional information about residences and dates below. …

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