PETER ALDANA COUNTY OF RIVERSIDE ASSESSOR-COUNTY CLERK-RECORDER County Clerk-Recorder P.O. Box 751 Riverside, CA 92502-0751 (951) 486-7000 www.riversideacr.com ASSESSOR-CLERK-RECORDER INFORMATION: SPECIAL REQUESTS Please complete the following: Requester Name: Business/Entity Name: Mailing Address: Daytime Phone: Date: __________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ Street City State Zip _______________________ Other Phone: __________________________ Please describe in detail your special request: In accordance with Section 408.3 (d) of the Revenue and Taxation Code, neither the county nor the assessor shall incur any liability for erroneous or incomplete data. Internal Use Only ACR-IT Services, MS # 1100 Recorder Administration, MS # 1140 Other: ____________________________________________ Recorder Administration (951) 486-7000 Clerk-Recorder Inquiries Only Public Contact Information ACR-IT Services (951) 955-9553 Assessor Inquiries Only ACR 915 (Rev. 01/2013) Available in Alternate Formats American LegalNet, Inc. www.FormsWorkFlow.com