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Charge Account Request Form. This is a California form and can be use in San Bernardino Local County.
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Tags: Charge Account Request Form, California Local County, San Bernardino
San Bernardino County Recorder
Larry Walker, Auditor/Controller-Recorder
222 W. Hospitality Lane, 1st Floor, San Bernardino CA 92415-0022
Hours 8 a.m. to 4:30 p.m., Monday-Friday. (909) 387-8314
www.sbcounty.gov/acr
Charge Account Request Form
Type of Request:
New Account
Change to an Existing Account (Complete only those sections that have changed)
Charge Account Number
Type of Organization:
Service Type:
Estimated Number of Recorded Documents Per Month Estimated Number of Copy Requests Per Month Unique Identifier
Organization Address
Agency Name
Address
City
State
Contact
Phone Number
Fax Number
E-Mail Address
Agency Manager
Phone Number
Fax Number
Zip Code
E-Mail Address
Title Service Company - Will a title service company be used?
Title Service Company Name
Yes
No (if yes, please complete the fields below)
Contact Name
Address
City
Phone Number
State
Zip Code
Confirmation E-mail Addresses (Please complete to receive confirmation of recordings as they occur)
E-Mail Address #1
E-Mail Address #2
Billing Address:
Agency
Parent Account No.
Agency/Service Provider Name
Address
City
Contact
Phone Number
Service Provider
State
Zip Code
E-Mail Address
Fax Number
Authorized Users (Please list authorized user(s). Attach a separate list if needed)
Add
Delete
Add
Delete
Add
Delete
Add
Delete
Add
Delete
Name
Phone Number
Name
Phone Number
Name
Phone Number
Name
Phone Number
Name
Phone Number
I hereby agree to the terms and conditions and accept the County Recorder’s established procedures for setting up and modifying a charge account.
Agency's Manager's Signature
Date
RECORDER USE ONLY
Approved
Denied
Signature of Chief Deputy Recorder
Date
NEW CHARGE CODE ASSIGNED BY:
Name
Date
Signature
Charge Code No.
Check No.
Amount
CONFIRMATION E-MAIL SET-UP
Name
Rev. 08/03/09
Signature
Date
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San Bernardino County Recorder
Charge Account Request Form
Terms and Conditions
Eligibility Limitations:
Title Companies: Title companies must record at least 50 documents per month to be eligible for a charge account. Accounts with
no activity for two consecutive months will be deactivated unless otherwise approved.
Government Accounts: Governmental entities must require invoicing prior to issuing warrants to be eligible for account set up.
Credit Rating:
By signing this agreement, customer authorizes, understands and agrees that the County may review customers credit history prior
to entering into this agreement or at any other time during the term of this agreement or at any other time during the term of this
agreement for purpose of determining of determining eligibility for extension of credit or collecting a debt owned hereunder.
Account Information and Fees:
Setup fee:
A $125 fee is required at the time of setup of an account.
Update fee:
A $15.00 fee is charged for each revision made to an existing account.
Gov’t fee:
All account fees are waived for government accounts
Charge Account Agreements are subject to approval by the Chief Deputy Recorder
Account Approval:
Account number:
Upon approval of the Charge Account Request Form, San Bernardino County Recorder’s Fiscal staff will
notify the customer in writing when a charge account number has been established. Please reference this
account number on future correspondence to ensure the prompt and correct processing of service
requests.
Account Update:
Changes to an account must be authorized by the originating agency, by completing and submitting a
New/Revised Charge Account Request Form with the appropriate fee. The Recorder’s fiscal staff will
notify the customer in writing when the updates have been completed.
The Recorder’s Office fiscal staff will notify the customer in writing if a charge account is denied.
Account Denial:
Charge Authorization:
For your protection and ours, customers are required to submit a Charge Authorization Form with each service request. This form
will be used to verify that users have been properly authorized to charge against the account. The form can be accessed on the ACR
website at http://www.sbcounty.gov/acr, "Online Services", "Forms/Publications", "Recorder Divison", "Charge Authorization
Form".
Service Companies:
If you choose to use a service company, they will be receiving the confirmation information and ensuring confirmations are
forwarded to the title company. They will be responsible for answering any recording or billing questions and submitting payments
to the County of San Bernardino Recorder.
Pricing:
Charges for services provided by San Bernardino County Recorder, County Clerk and Records Management Divisions shall be set
forth in a written price schedule. The price schedule is available on the ACR website http://www.sbcounty.gov/acr, "Online
Services", "Forms/Publications", "Recorder Divison", "Fee Schedule".
Billing and Payment Terms:
Payment is due 24 hours from the receipt of invoice or 3 business days after the transaction date.
Title Companies:
Other Accounts:
Government and Image customers will be billed at the end of each month. Payment is due 30 days from
the date of invoice.
Late payments:
You will be notified of any overdue balance either by phone or by fax. This notice will indicate, the
details of the delinquency and our fiscal staff’s contact information. Please be aware that overdue invoices
may result in the temporary suspension of a charge account. Also, be sure to keep confirmations of each
EFT that you initiate in case there are any discrepancies with receiving your payment.
Rev. 08/03/09
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San Bernardino County Recorder
Charge Account Request Form
Payment methods:
Payments must be made via electronic funds transfer.
Send your electronic payments to:
Bank of America
ABA for wires: 026009593
Account # 1459401714
Name of the Account: County of San Bernardino-Recorder's Office
Image Customers:
Images System Requirements: Important ftp client configuration settings are:
SSL Mode: SSL Explicit Encryption
TCP Port: 990
FTP Mode: PASSIVE
Passive Ports: 10000 - 10200
Once an account has been established the customer will be issued the address and password to access the FTP server. 1The FTP
server will only accept SSL encrypted FTP connections therefore customers need to use FTP client software that supports SSL
connections. Filezilla is one such open source program that can be freely downloaded. The County will provide IT support for the
service. The customer is responsible for contacting the IT department at 909-386-8876 to report problems with their connection to
the server. Fees will not be waived due to unavailability to the site unless record
of an ongoing service request is on file.
Availability:
Images are batched by date and are not available by individual image.
Document:
Images are transferred to the FTP server daily. Please note, there is a two-day delay between image
scanning and availability on the server. The previous thirty days of images are available for
downloading from the FTP server at all times.
Map:
Images are transferred to the FTP server monthly. Images are transferred and organized by month, after
the close of the month’s images have been scanned. The previous three months of images are available
for downloading from the FTP server at all times.
Although the availability window through the FTP server may have passed, the Recorder’s office, for an additional fee, may still
provide you with images upon request. Please contact the Accountant at (909) 387-1016 for further assistance.
Term of Agreement:
This agreement will automatically continue for successive one-year renewal terms unless the customer or San Bernardino County
Recorder give written notice of cancellation. The County will send out annual update requests to verify the information on hand
and give the customer an opportunity to make changes at no charge during this time.
Mail Completed Form to:
San Bernardino County Recorder
222 W. Hospitality Lane
San Bernardino, CA 92415-0022
Mail code: 0022/Fiscal
909-387-1023
1
TSS will work with ISD to set up customer accounts and passwords to access the ftp server
Rev. 08/03/09
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