Form ACR 996, Official Record Special Handling Request, is a Riverside County Assessor-County Clerk-Recorder form for three requests about a document that is already recorded: moving a military discharge record to the non-public index, correcting the official record index, or redacting a Social Security number. The military discharge request includes a sworn statement made under Government Code Section 6107 (b). On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the county publishes the original PDF at the official link below.
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What is ACR 996?
Form ACR 996, Official Record Special Handling Request, is the Riverside County Assessor-County Clerk-Recorder form used to ask the Recorder for special handling of an official record that has already been recorded, through one of three separate requests printed on the form.
The three requests are:
- Request - Military Discharge Record to Non-Public Index. You give the date of recording and the document number, then check your relationship to the discharge record. A sworn statement at the bottom, made under penalty of perjury, says you are an authorized person under Government Code Section 6107 (b), eligible to receive a certified copy of the military discharge identified on the form.
- Request – Official Record Index Correction. You give the date of recording and the document number, then state the type of update. The form offers Title Name, with a From line and a To line.
- Request – Social Security Redaction on an Official Record. You give the date of recording, the document number and the page number where the Social Security number appears.
Each request identifies the recorded document by its date of recording and document number, so the document must already be recorded. The Requested By block (name, street address, city/state/zip, phone, email and date of request) is to be completed only for the non-public index request. A For Office Use Only strip at the bottom records who completed the request and when the customer was notified. The form is printed "ACR 996 (Est.04/2018)" and notes that it is available in alternate formats. It is a request form, not a recording document, and it does not itself change a record until the office acts on it.
Who needs to file ACR 996?
The form serves anyone who needs one of its three requests handled for a recorded Riverside County document. The military discharge request is the one that limits who may use it. By checking a box, you identify yourself as one of these:
- the person who is the subject of the military discharge document;
- a child, parent, grandparent, grandchild, sibling, spouse or domestic partner of the person listed on the military discharge record;
- a legal representative of the person who is the subject of the military discharge document;
- a county office that provides veterans' benefits;
- a United States Official.
If you are not one of these, the sworn statement, which says you are an authorized person under Government Code Section 6107 (b), does not apply to you. The index correction request (Title Name) and the Social Security redaction request do not list eligibility categories on the form, so ask the Recorder's office at (951) 486-7000 if you are unsure whether you may use them. The form does not describe signing for someone else on the sworn statement; the person making the statement signs it.
When to file ACR 996
Submit Form ACR 996 when you need to change how an already recorded document is handled: when its military discharge record should be moved to the non-public index, when its index entry needs a correction, or when a Social Security number appears on a recorded page. The form prints no deadline and no filing window. It does require the date of recording and the document number of the record, so you need those in hand before you start. The sworn statement for the military discharge request carries its own date and place, which you enter when you sign.
How to fill out ACR 996
Choose the request you need
Form ACR 996 has three request sections: Military Discharge Record to Non-Public Index, Official Record Index Correction, and Social Security Redaction on an Official Record. Complete only the section that matches your request.
Enter recording date and document number
In your section, enter the Date of Recording and the Document Number of the recorded document. Every request section asks for both.
Check your relationship (discharge request)
For the military discharge request, check one box after "I am:": the subject of the document, a listed family member, a legal representative, a county office that provides veterans' benefits, or a United States Official.
Describe the index correction
For an index correction, check Title Name under Type of Update and write the current entry on the From line and the corrected entry on the To line.
Give the SSN page number
For a Social Security redaction, enter the Page Number where SSN is located. Do not add other information the form does not ask for.
Complete the Requested By block
Only for the Non-Public Index request, enter your name, street address, city/state/zip, phone, email address and the date of request.
Complete the sworn statement
Also for the Non-Public Index request, write your name in the "I, ____ swear or affirm" line. Enter the sworn date and the city and state, then sign.
Leave the office-use strip blank
Do not write in the For Office Use Only section; the office records who completed the request and when the customer was notified.
Review, download and print
Check that the date of recording and document number match the recorded document. Download or print the completed PDF from FillingPDF, using black ink and 8 1/2" x 11" white paper, and submit it as described under How to submit.
How to submit ACR 996
The Riverside County Assessor-County Clerk-Recorder accepts its forms by mail or in person; they cannot be submitted online. The county's forms page says its PDF forms allow online completion and printing but not online submission, and that they must be delivered, by mail or in person, to your local Assessor-County Clerk-Recorder office.
- By mail: the header of Form ACR 996 prints the Assessor mailing address as P.O. Box 751, Riverside, CA 92502-0751. The form does not say which address is for Recorder requests, so confirm with the Recorder's office before mailing.
- In person: deliver the form to your local Assessor-County Clerk-Recorder office.
- Questions: the form lists (951) 486-7000 for the County Clerk-Recorder, (951) 955-6200 for the Assessor and www.rivcoacr.org.
Print the form in black ink on 8 1/2" x 11" white paper, as the county requires for all its forms. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Trying to submit the form online; the county's forms must be delivered by mail or in person to a local Assessor-County Clerk-Recorder office.
- Printing the form on colored paper, a different paper size or in other than black ink; the county requires black ink on 8 1/2" x 11" white paper.
- Leaving out the date of recording or the document number, which identify the recorded document for each of the three requests.
- Skipping the page number on the Social Security redaction request, which asks where the SSN is located.
- Not checking any relationship box on the military discharge request, so the office cannot tell which authorized person you are.
- Leaving the sworn statement unsigned or without its date and city/state; it is made under penalty of perjury.
- Completing the Requested By block for an index correction or redaction request; the form says to complete it only for the Non-Public Index request.
- Writing in the For Office Use Only section, which is reserved for the office.
Frequently asked questions
What is Form ACR 996 used for?
Form ACR 996 is a Riverside County Assessor-County Clerk-Recorder form for three requests on a recorded document: moving a military discharge record to the non-public index, correcting the official record index (Title Name), or redacting a Social Security number.
Is Form ACR 996 a Riverside County property tax form?
No. It is a Recorder request about official records that are already recorded, not a property tax form. The county Assessor's mailing address is printed in its header, but the three requests concern a discharge record, an index entry and an SSN.
Who can request a military discharge record be moved to the non-public index?
The subject of the document; a child, parent, grandparent, grandchild, sibling, spouse or domestic partner; a legal representative; a county office that provides veterans' benefits; or a United States Official. You swear you are authorized under Government Code Section 6107 (b).
Can I submit Form ACR 996 online?
No. The county says its forms allow online completion and printing but not online submission. Deliver the completed form by mail or in person to your local Assessor-County Clerk-Recorder office.
What information do I need before filling out Form ACR 996?
The date of recording and the document number of the recorded document. For a Social Security redaction you also need the page number where the SSN appears, and for an index correction the current and corrected title name.
Do I need to sign Form ACR 996?
Yes, for the military discharge request. You swear or affirm under penalty of perjury that you are an authorized person, then enter the date, the city and state, and your signature.
Can I fill out Form ACR 996 online on FillingPDF?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of Riverside County and does not submit the form; you deliver it to the Recorder's office by mail or in person.
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