Form Acr 485 - Application For Certified Copy Or Search Of A Marriage Record - 2014

Download a blank fillable Form Acr 485 - Application For Certified Copy Or Search Of A Marriage Record - 2014 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Acr 485 - Application For Certified Copy Or Search Of A Marriage Record - 2014 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

RIVERSIDE COUNTY

ASSESSOR-COUNTY CLERK-RECORDER

APPLICATION FOR CERTIFIED COPY OR SEARCH OF A MARRIAGE RECORD

PLEASE REVIEW THE INSTRUCTIONS ON THE BACK BEFORE COMPLETING

PLEASE PRINT IN BLACK OR BLUE INK

MARRIAGE RECORD or CERTIFICATE OF NO RECORD INFORMATION

FEE $15.00

PLEASE PRINT

License # __________________________________



Type of License Purchased:

Public

Confidential

If requesting a Certificate of No Record, years to be searched: _______________________to__________________________

For below, give names prior to this marriage:

Name of First Person: __________________________________________________________________________________

First

Middle

Last

Name of Second Person: ________________________________________________________________________________

First

Middle

Last

Date of Marriage:____________________________________ Number of Copies____________________________________



I am requesting an AUTHORIZED copy

I am requesting an INFORMATIONAL copy

If you are requesting an Informational copy, please skip to section 4.

Public Marriage Certificate: To receive a Certified Copy I am:

Confidential marriage certificate:



To receive a Certified Copy I am:

The registrant (one of the parties to the marriage).



A parent, legal guardian, child, grandparent, grandchild, sibling, spouse, or domestic

One of the parties to the confidential

partner of the registrant

marriage



A member or representative of a government agency, as provided by law, who is

A party entitled to receive the record as a

conducting official business.

result of a court order (include a certified



A party entitled to receive the record as a result of a court order (include a certified

copy of the court order with this request)

copy of the court order with this request).



An attorney representing the registrant or the registrant’s estate, or any person or

agency empowered by statute or appointed by a court to act on behalf of the

registrant or the registrant’s estate (if by power of attorney, include a copy of the

power of attorney with this request)

Those who are not authorized by law to receive a certified copy of a non-confidential (public)

marriage record will receive a certified copy marked “INFORMATIONAL, NOT A VALID

DOCUMENT TO ESTABLISH IDENTITY”

Requested by:

Mail/Issue To: (For Public Marriages Only)

_________________________________________________

________________________________________

Name

Name of Person Receiving Copies, If Different from Applicant

_________________________________________________

________________________________________

Street Address

Mailing Address for Copies, if Different from Applicant

_________________________________________________

________________________________________

City

State

Zip

City

State

Zip

_____________________________________

Phone # (_________)_____________________________

I.D. #

I, ______________________________________________ swear or affirm under penalty of perjury that I am an authorized person, as defined in

(Print Full Name)

California Health and Safety Code Section 103526 (c), eligible to receive a certified copy of the marriage record identified on this application form.

Sworn: __________________________________________ at __________________________________

____________

Date (mm/dd/ccyy)

City

State

Signature: ___________________________________________________________________________________________

(Applicant Signature)

(If ordering in person you must sign in front of the Clerk)

BELOW SECTION FOR OFFICE USE ONLY

Receipt #

Check #

Total $ Due