"Request to Redact Social Security Number From Public Documents" - Harris County, Texas

Request to Redact Social Security Number From Public Documents is a legal document that was released by the District Clerk - Harris County, Texas - a government authority operating within Texas. The form may be used strictly within Harris County.

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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:
Volume/Page of Case
Name listed on Document
Document Title
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:
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:
Volume/Page of Case
Name listed on Document
Document Title
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: