Florida > Local County > Lake > Official Records

Request Form For Social Security Or Account Number Removal - Florida

Request Form For Social Security Or Account Number Removal Form. This is a Florida form and can be used in Official Records Lake Local County .
 Fillable pdf Last Modified 5/24/2010
Get this form for FREE as a print-only pdf

Request Form For Social Security or Account Number* Removal *includes complete bank account, debit, charge, or credit card number Date:________________________ Name of Holder of SSN or Account Number: ________________________________________ Phone Number: (optional)_______________________________________________________ Relationship to Requester: [ ] Self [ ] Attorney, specify [ ] Legal Guardian, specify For Redaction/Removal of SSN or Account Number from an Official Record Image on a Publicly Available Internet website, please provide: Instrument Number/Book and Page Number/Document Type For Redaction/Removal of SSN or Account Number from Court Records, please specify: Case Number/Document Name/Page Number Signature: _____________________________________________________ Date Request Received:________________________ Date Request Completed:_______________________ Clerk Processing Request:______________________Please complete and mail or fax form to: Recording Division, Lake County Clerk of Circuit Court,122 E. Main Street, Post Office Box 7800,Tavares, FL 32778-7800FAX: (352) 253-2616
Link/Embed this Document
URL
Embed


Popular Searches

  1. grant deed
  2. information subpoena
  3. Form Interrogatories-General
  4. durable power of attorney
  5. deposition subpoena
  6. bill of costs
  7. stipulation of discontinuance
  8. Request for entry of default
  9. Preliminary Change of Ownership Report
  10. Decree of Dissolution of Marriage

Bookmark and Share