Assessor P.O. Box 12004 Riverside, CA 92502-2204 (951) 955-6200 LARRY W. WARD COUNTY OF RIVERSIDE ASSESSOR-COUNTY CLERK-RECORDER County Clerk-Recorder P.O. Box 751 Riverside, CA 92502-0751 (951) 486-7000 www.riversideacr.com APPLICATION FOR COPY OF OFFICIAL RECORDS Any copy requests for 10 or more documents will NOT be processed the same business day. YEAR (AÑO) INSTRUMENT NUMBER or BOOK AND PAGE (NUMERO DEL INSTRUMENTO O LIBRO Y PAGINA) NO. OF COPIES (NUMERO DE COPIAS) NON-CERTIFIED (SINSER CERTIFICADO) CERTIFIED (CERTIFICADO) FEES (IMPUESTOS) 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 $7.00 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 Requested by (pedido por): ___________________________________________ For Office Use Only: Name (nombre) # of 1st. pages __________________ _______________________________________________________ Street Address (direccion) # of extra pages _________________ _______________________________________________________ City (ciudad) State (estado) Zip (zona postal) _______________________________________________________ Telephone Number (numero de teléfono) # of cert. copies _________________ TOTAL $ ______________________ For Office Use Only Rect. # _________________________ Cash ___________________ Check _________________ Check #___________________ Total $ _________________________ Govt. Agency _______________________________________ Amt. $ ____________________ Clerk ____________________________________________ ACR 515 (Rev. 10/2011) Available in Alternate Formats Long $____________________ American LegalNet, Inc. www.FormsWorkFlow.com