Los Angeles County Recorder Request Form

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DATE/TIME STAMP
1614 W. Temple Street
Los Angeles, CA 90026
(213) 483-4900
LOS ANGELES COUNTY RECORDER REQUEST FORM
**MUST BE SUBMITTED WITH DIRECT INSTRUCTION FORM**
FIRM/CLIENT NAME
DIRECT ACCT #:
CONTACT NAME:
INSTRUCTION#:
TELEPHONE NUMBER:
FILING INSTRUCTIONS
(INDICATE ANY AND ALL SPECIAL INSTRUCTIONS BELOW)
NUMBER OF DOCUMENTS:
AMOUNT ENCLOSED $:
LIST OF DOCUMENTS ATTACHED:
PLEASE CHECK APPROPRIATE BOXES:
o RECORD AND CONFORM
o RECORD ALL DOCUMENTS THAT ARE NOT REJECTED
o DO NOT RECORD ANY OF THE DOCUMENT IF ANY OF THEM ARE
REJECTED
o OBTAIN
CERTIFIED COPY(S) OF RECORDED DOCUMENTS
o PLEASE RETURN A RECEIPT
o PLEASE RECORD WITHOUT PCOR FORM
ADDITIONAL INSTRUCTIONS:

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