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Request To Redact Social Security Number - Texas

Request To Redact Social Security Number Form. This is a Texas form and can be used in General Dallas Local County .
 Fillable pdf Last Modified 1/25/2012
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JOHN F. WARREN Dallas County Clerk Request to Redact Social Security Number From Public Documents In accordance with Title 5, Chapter 552.147(d) Texas Government Code, the following form is provided for the redaction of an individual's social security number. Social security numbers will be redacted from the specific document(s) listed below. The requestor or the requestor's lawful representative must submit a detailed list of the documents from which the social security number is to be redacted. I, ______________________________ do hereby by my signature below request that the first five numbers of my social security number found in the following document(s) be removed from public access: Name Listed on Document Document Title Instrument Number Page # w/SSN Name: _____________________________ Address _____________________________________ City/State/Zip: _________________________________________ Phone: ___________________ Signature: ________________________________________ Return Address: Dallas County Clerk Records Building 509 Main St, Suite 200 Dallas, Texas 75202 Attn: Redaction Request American LegalNet, Inc. www.FormsWorkFlow.com
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