Pinellas County Clerk’s Office Request for Redaction
1
TO RELEASE REDACTED INFORMATION ON RECORDED DOCUMENTS
This request is made by
Printed Name:
I request that the Pinellas County Clerk of Court release an unredacted copy of the following redacted,
recorded document:
Date of Request:
Document Title:
Book and Page of Document: Book Page
Instrument Number:
A copy of the redacted document is attached to this request.
I request that the clerk release a copy of the unredacted referenced document to:
Signature
STATE OF FLORIDA
COUNTY OF PINELLAS
Signed on
Sworn to (or affirmed) and subscribed before me on (date) _______________________, 20_____ by
(affiant name) .
___________________________________
NOTARY PUBLIC-STATE OF FLORIDA
___________________________________________
{Print, type, or stamp commissioned name of notary}
____ Personally known, OR
____ Produced identification
Type of identification produced/ID#___________________________________
Revised 6/2019