Petition for Compiled Information
To Which Public Access Has Been Restricted

	Pursuant to Section 4.40(c) of the Rules for Privacy and Public Access to Court Records in Montana, the undersigned represents and petitions as follows:

1.	Petitioner’s full name: _______________________________________________

2.		Petitioner’s residential address: ________________________________________
	__________________________________________________________________

3.	Petitioner’s phone number: (_____) ___________________________

4.	Petitioner represents the following business, institution or organization:
	__________________________________________________________________

5.	Address of Business, institution or organization: __________________________
            __________________________________________________________________

6.	Phone number of business, institution or organization: (_____) _______________

7.		The information sought is described as follows:

8.			The provisions for securing the protection of the above information are as 	follows:

9.			Petitioner states that while the information in the above compiled data may be 	synthesized, summarized or reformatted for scholarly or journalistic purposes, the 	data itself will not be sold, published or otherwise disseminated.

10.	Petitioner understands that a court of competent jurisdiction may make such 	additional orders as may be needed to protect information to which access has 	been restricted or prohibited.

							______________________________
									Petitioner

Verification

State of _________________________

County of _______________________

The undersigned, being first duly sworn, on oath, swears (or affirms) that___he___she is the Petitioner named above, that ___he___she has read the Petition, and that the statements made in the Petition are true.
_______________________________
									Petitioner

Signed and sworn to (or affirmed) before me on (date)____________________________
By (name of Petitioner) ____________________________________________________

________________________________
Notary Public for the State of Montana

________________________________
                                                                                              Printed Name of Notary   

________________________________      
								Residence of Notary
________________________________
Expiration Date of Notary Commission