Fillable Request Form for Social Security Number Removal (Clay County Florida Clerk of Court and Comptroller)

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Request Form for Social Security Number Removal (Clay County Florida Clerk of Court and Comptroller)

On average this form takes 7 minutes to complete

The Request Form for Social Security Number Removal (Clay County Florida Clerk of Court and Comptroller) form is 1 page long and contains:

  • 1 signature
  • 3 check-boxes
  • 24 other fields

Country of origin: US
File type: PDF

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BROWSE CLAY COUNTY FLORIDA CLERK OF COURT AND COMPTROLLER FORMS

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Request Form for Social Security Number Removal
Fo
r Redaction/Removal of Social Security Number from an Official Record Image on a Publicly
Available Internet website, please provide:
Instrument Number Book and Page Number Document Type
Fo
r Redaction/Removal of Social Security Numbers from Court Records, please specify:
Case Number Document Name Page Number
Signature:
For Office Use Only:
Date Request Received
Date Request Completed
Clerk Processing Request
Date:
Name of Holder of Social Security Number:
Phone Number: (optional)
Relationship to Requester:
[ ] Self
Attorney, specify
[ ] Legal Guardian, specify
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Request Form for Social Security Number Removal (Clay County Florida Clerk of Court and Comptroller)

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Completed 30 July 2021

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