COPY REQUEST FORM
FICTITIOUS BUSINESS
NAME RE
GISTR
ATION
OFFICIAL
R
ECO
R
D
Requested By (Solicitado Por):
Street Address (Dirección):
City (Ciudad):
State (Estado):
Zip Code (Zona Postal):
Phone Number (Número de Teléfono):
Email (Correo Electnico):
Copy Fees (per document) Non-Refundable:
$3.00 First Page (Non-certifi
ed)
$1.00 Each subsequent page (Non-certified)
Mailing of Copies:
First Class Mail is used for mailing all copies.
Check Enclosed
Money Order/Cashier’s Check Enclosed
Year
(Año)
Instrument/Document/File/Cert
No. or Book & Page No.
(#. de instrumento/documento/archivos ó
libro y de página)
# of Copies
(# de
Copias)
# of Pages
(# de
ginas)
(Copia
Certificado)
Non-
Certified
(Copia
Simple)
Fees
(Honorarios)
1
2
3
4
Total
Recorder’s Use Only: Accepte
d By: Processed By:
Rev: 10/21/19
Recorder-County Clerk
222 W. Hospitality Lane, 1
st
Floor
San Bernardino CA 92415-0022
Phone: (855) 732-2575
$4.00 First page (Certified)
$2.00 Each subsequent page (Certified)
Example: Documents pertaining to real estate
Does not include Vital Records (birth, death, or marriage certificates)
Payment Options:
Payment may be made by check, postal or bank money order, cashier’s check (payable to County Recorder).
Please check the appropriate box:
SB Recorder Charge Account #______________________