LARRY W. WARD COUNTY OF RIVERSIDE ASSESSOR-COUNTY CLERK-RECORDER Assessor P.O. Box 12004 Riverside, CA 92502-2204 (951) 955-6200 County Clerk-Recorder P.O. Box 751 Riverside, CA 92502-0751 (951) 486-7000 Website: www.riversideacr.com Portal: www.riversidetaxinfo.com APPLICATION FOR SEARCH AND COPY OF OFFICIAL RECORDS MAIL ONLY You may purchase a copy of the record to serve as verification of the recording. Please provide us with all or any of the below information that may help us in completing your request. Document Title Names Referenced on Document Parcel # Document Title Year of Document Names Referenced on Document Parcel # Document Title Year of Document Names Referenced on Document Document # or Book and Page Year of Document Parcel # Number of Copies Certified Yes No Yes No Yes No Document # or Book and Page Number of Copies Certified Document # or Book and Page Number of Copies Certified 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. By signing below, you are verifying that you have read, understand, and accept the above. Print Name Signature For Office Use Only Requestor’s Name # of 1st pages _______________ Mailing Address City ( ) Area Code # of extra pages _____________ State Zip # of cert. copies _____________ Total $_____________________ Telephone Number / Credit Card # Exp. Date For Office Use Only Clerk ___________ Rect.# ________________ Cash Check # ______________ Amount of Ck ______________ ACR 512E-AS4CE0 (Rev. 11/2008) Check Govt. Agency Credit Card Long $______________ Available in Alternate Formats American LegalNet, Inc. www.FormsWorkflow.com