Request To Redact Social Security Number
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Request To Redact Social Security Number Form. This is a Texas form and can be use in Harris Local County.
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Tags: Request To Redact Social Security Number, Texas Local County, Harris
Request to Redact Social Security Number
From Public Documents
County Clerk
District Clerk
I 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 Document
Document Title
Volume/Page of Case
Number
Page # that SSN appears
I am the owner of the Social Security (SSN) that appears in the document(s) listed above.
I submit this request along with proof of my identification for the purpose of preventing full
disclosure of my SSN, and I understand that the last four digits must remain in the public
documents as required by law.
Printed Full Name
Daytime Phone Number
Signature
Date
Address
City/State/Zip
For Office Use
Date Request Received:
Date Redaction Completed:
Identification Copied:
Website Notified to Update:
Redaction Process Completed by:
Deputy
Comments:
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