Request to Inspect Corporate Records

To: {Company Name}
      {Address}
      {City, State, Zip}

To Whom It May Concern:

I, the undersigned owner of shares of common stock of {name of company}, hereby demand the opportunity to inspect the following records of the company:

{list of records you are demanding to see}

I will inspect the records at {address}, for the following purpose:

{reason for this demand}

I further state that I have not, nor will I in the future, use my access to these records for monetary gain, such as would come from the sale of any list of the shareholders of this company.

Sincerely,

{Sender}