Rev. 02/09/18 Pg. 1 of 2
Please TYPE or PRINT legibly and firmly in BLACK ink. Neither the County Clerk nor his deputies are permitted by law to give
legal advice and/or assistance. This filing will be a public record and there are no refunds.
Registration Number: ___________________________ Expiration Date: _____________________________
If a renewal, a new # must be assigned if there is a Two years from date of filing or bond expiration
lapse of three years or more in the period of registration.
Filing Fees:
Filing registration: $175.00
Filing bond $ 35.00
Each additional ID card $ 10.00
A. Personal Information
First Name Middle Initia
l
Last Name Age
Business Name
Stree
t
Addres
s
Cit
y
State Zip Code
Telephone Numbe
r
California Driver’s License Number (or other personal identification that is acceptable to the County Cler
k
Space above for County Clerk use only
San Bernardino County
Recorder - Clerk
222 West Hospitality Lane
San Bernardino, CA 92415-0022
855 REC-CLRK
www.sbcounty.gov/arc
Additional Fees:
Record the bond – 1
st
page of bond $ 14.00
Each additional page of bond $ 3.00
UNLAWFUL DETAINER ASSISTANT REGISTRATION
(INDIVIDUAL)
Completely fill in all business and personal information requested in Part A. Check each applicable box in Parts B-E and
provide information as requested for each box that is checked. Attach legible copies of all documents requested for each
box that is checked (attach certified copies and originals as specified). You must sign the completed application under
penalty of perjury.
Rev. 02/09/18 Pg. 2 of 2
B. Civil Judgment
C. Criminal Conviction (Note: Conviction means a plea or verdict of guilty or a conviction following a plea of
nolo contendere. Any conviction dismissed under Penal Code §1203.4 must be included).
D. Revocation of Registration
E. Disbarment/Suspension
RENEWAL OF REGISTRATION
To be eligible to renew registration, registrant shall complete 15 hours of continuing legal education courses during the
two-year period preceding renewal.
I declare under penalty of perjury under the laws of the State of California that all information on this application and
on all accompanying documents is true and correct.
Signature Date
Have you been held liable in a final judgment entered in a civil action that alleged fraud, use of an untrue or
misleading representation, or u
se of an unfair, unlawful or deceptive business practice?
Yes (attach certified copy of each judgment). No
Have you had a civil judgment entered against you in an
action arising out of your negligent, reckless or willful
failure to properly perform your obligation as a legal document assistant or an unlawful detainer assistant?
Yes (attach certified copy of each judgment).
No
Have you been convicted of a felony?
Yes (attach certified copies of each conviction and disposition).
No
Have you been convicted or a misdemeanor unlawful practice of law or contempt of the authority of a court
pursuant to Business and Professions Code §6126 or §6127?
Yes (attach certified copies of each conviction and disposition)
No
Have you been convicted of a misdemeanor violation of the provisions on legal document assistants and
unlawful detainer assistants pursuant to Business and Professions Code §6400-6416?
Yes (attach certified copies of each conviction and disposition).
No
Have you had registration as a legal document assistant or unlawful detainer assistant revoked b
y a
County Clerk pursuant to Business and Professions Code §6413?
Yes (attach certified copy of each revocation)
No
Are you presently disbarred or suspended from the practice of law pursuant to Business and Professions
Code
§6100-6117?
Yes. Date of Disbarmen
t or Suspension _______________.
No
I am renewing
registration and I have completed the 15 hours of legal education courses required by
Business and Professions Code Section 6402.2