Application For Copy Of Official Records {ACR 515}

PETER ALDANA COUNTY OF RIVERSIDE ASSESSOR-COUNTY CLERK-RECORDER www.riversideacr.com Assessor (951) 955-6200 County Clerk-Recorder (951) 486-7000 Mailing Address P.O. Box 751 Riverside, CA 92502-0751 APPLICATION FOR COPY OF OFFICIAL RECORDS Any copy requests for 10 or more documents will NOT be processed the same business day. DOCUMENT NUMBER or BOOK AND PAGE (NUMERO DEL DOCUMENTO O LIBRO Y PAGINA) YEAR (AÑO) NO. OF COPIES (CANTIDAD DE COPIAS) NON-CERTIFIED (SIN CERTIFICAR) CERTIFIED (CERTIFICADO) FEES (COSTOS) 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) You are encouraged to view each document prior to requesting copies. No refunds will be issued once the copies are made. Each document is priced separately; the fees are $6.50 for each first page after recordation of the document, $1.00 for each additional page on the same document and $1.00 per document for certification. The average number of pages of a document is 6 pages, but some can be well over 100 pages. Once the copies are made, the fee is charged. It is your responsibility to determine, prior to ordering copies, if the document numbers are correct. By signing below, you are verifying that you have read and understand the above. Printed Name Signature For Office Use Only: # of 1st. pages __________________ # of extra pages _________________ # of cert. copies _________________ TOTAL $ ______________________ Requested by (pedido por): ___________________________________________ Name (nombre) _______________________________________________________ Street Address (direccion) _______________________________________________________ City (ciudad) State (estado) Zip (zona postal) _______________________________________________________ Telephone Number (numero de teléfono) For Office Use Only Rect. # _________________________ Total $ _________________________ Cash ___________________ Check _________________ Check #___________________ Amt. $ ____________________ Long $____________________ American LegalNet, Inc. www.FormsWorkFlow.com Govt. Agency _______________________________________ Clerk ____________________________________________ ACR 515 (Rev. 12/2014) Available in Alternate Formats