Request To Redact Social Security Number

Request to Redact Social Security Number From Public Documents County Clerk District Clerk I 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 Volume/Page of Case Number Page # that SSN appears I am the owner of the Social Security (SSN) that appears in the document(s) listed above. I submit this request along with proof of my identification for the purpose of preventing full disclosure of my SSN, and I understand that the last four digits must remain in the public documents as required by law. Printed Full Name Daytime Phone Number Signature Date Address City/State/Zip For Office Use Date Request Received: Identification Copied: Redaction Process Completed by: Comments: Date Redaction Completed: Website Notified to Update: Deputy American LegalNet, Inc. www.FormsWorkFlow.com