In observance of Thanksgiving, our office will be closed Thursday and Friday 11/26 and 11/27. Please click here to create a support ticket. Normal phone support will resume on Monday, November 30th at 7:00 AM PST.
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 6/4/2015
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 per Florida Statute 119.0714(3) 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 Signature: _____________________________________________________ Date Request Received:________________________ Date Request Completed:_______________________ Clerk Processing Request:______________________ This document is used to request the removal/redaction of social security or account numbers on documents that are publicly available on the Clerk's Internet website The request must be legibly written, signed, and delivered in person or by mail, facsimile, or electronic transmission to the Clerk/County Recorder. The request must specify the identification page number that contains the social security or account number. No fee is charged for this service. Please complete and return to: Recording Division, Lake County Clerk of Circuit Court, 550 W. Main Street, Post Office Box 7800, Tavares, FL 32778-7800 Revised 05/29/2015 FAX: (352) 253-2616 Email: American LegalNet, Inc.
Link/Embed this Document

Popular Searches

  1. notice of motion
  2. declaration
  3. notice of hearing
  4. request for dismissal
  5. Ex Parte
  6. satisfaction of judgment
  7. interrogatories
  8. civil
  9. custody
  10. notice

Bookmark and Share