County Clerk, Dallas County Request to Redact Social Security Number From Public Documents I, ______________________________ do hereby by my signature below request that the first five numbers of my social security number found in the following document(s) be removed from public access: Name Listed on Instrument Instrument Page # w/SSN Name: _____________________________ Address _____________________________ City/State/Zip: _________________________________ Phone: ___________________ Signature: _____________________________ Return Address: Dallas County, Clerk Records Building 2nd FL Attn: Redaction Request 509 Main St Dallas, Texas 75202 American LegalNet, Inc. www.FormsWorkFlow.com