Form ARC 504, the Recorder-Clerk Claim for Refund, is the form a person uses to ask the San Bernardino County Recorder-County Clerk, part of the Assessor-Recorder-County Clerk, to refund a payment. You state the amount and the reason, certify under penalty of perjury that no refund was made before, and name who the refund check is payable to. It is one of the forms the office lists alongside its San Bernardino County property tax forms, but it is addressed to the Recorder-County Clerk. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the form itself is published by the county at arc.sbcounty.gov.
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What is ARC 504?
Form ARC 504, Claim For Refund, is the San Bernardino County form on which a claimant asks the San Bernardino County Recorder-County Clerk to refund a payment, gives the amount and the reason, and certifies that the payment has not already been refunded.
The form is a short, one-block affidavit. The claimant states the refund amount and the reason or reasons, certifies under penalty of perjury that the statements are true and correct and that a refund of the payment has not previously been made, and signs as the original payee. A separate section names the person, address, phone number and email for the refund check. A box labeled RECORDER-COUNTY CLERK USE ONLY records the office's review: recommendations of approval or denial by two RT Supervisors, a Management Review, and a Deputy Recorder-County Clerk entry. The claimant does not complete that box.
The form is issued by the San Bernardino County Assessor-Recorder-County Clerk and carries the revision date 07/01/2026.
This is not a property tax refund form. The county's forms list shows a separate Claim for Refund of Tax Payment handled by the Clerk of the Board, and a separate Documentary Transfer Tax Claim for Refund listed under the Recorder. Form ARC 504 is the claim addressed to the Recorder-County Clerk.
Who needs to file ARC 504?
The main user is the original payee: the person or entity that made a payment to the San Bernardino County Recorder-County Clerk and now requests a refund of it. The form is headed "Claimant Affidavit of Original Payee", and the claimant signs it and types or prints their name and title.
The refund check can be made payable to a name you enter in the Make Refund Check Payable To section, with a street address, city, state and ZIP code, so the payee named there may differ from the person signing. The form does not say who may sign for a claimant or whether a representative may do so.
Do not use this form if your refund concerns a different process. The county's forms list shows a separate Claim for Refund of Tax Payment (Clerk of the Board) and a separate Documentary Transfer Tax Claim for Refund (Recorder). You also cannot use it if a refund of the payment has already been made, because the claimant certifies that none has.
When to file ARC 504
Complete Form ARC 504 when you want a refund of a payment you made to the Recorder-County Clerk and no refund has yet been issued for it. The form prints no filing deadline and no processing time. It requires the claimant to date and sign it, writing the day, month, year and the time of execution, so complete it only when you are ready to sign. Because the revision printed on the form is 07/01/2026, check arc.sbcounty.gov for the current edition if you hold an older copy.
How to fill out ARC 504
Enter the refund amount
In the opening statement, "I, the undersigned, do hereby request a refund in the amount of $", enter the amount you are asking to be refunded.
State the reason for the refund
Write the reason or reasons for the request in the space after "for the following reason(s)".
Read the certification
Before signing, confirm that the statements are true and that a refund of the payment has not previously been made; you certify both under penalty of perjury.
Enter the date and time
Complete "Dated and executed this ___ day of _, 20" with the day, month and year, and mark the time of execution as a.m. or p.m.
Sign as the original payee
Under Claimant Affidavit of Original Payee, sign on the signature line, then type or print your name and title.
Name the refund check payee
Under Make Refund Check Payable To, enter the name, street address, and city, state and ZIP code.
Add your contact details
Enter a contact phone number and an email address in the fields at the bottom of the claimant section.
Skip the office-use box
Leave the Recorder-County Clerk Use Only block blank; the RT Supervisors, Management Review and Deputy Recorder-County Clerk complete it.
Review and download the completed PDF
Check the amount, reason, signature and payee address, then download or print the completed PDF from FillingPDF and deliver it as described under How to submit.
How to submit ARC 504
The form is addressed "To: San Bernardino County Recorder-County Clerk" and names no submission channel of its own. The office details printed in its header are:
- Office: San Bernardino Recorder-County Clerk, 222 W. Hospitality Lane, 1st Floor, San Bernardino, CA 92415-0022
- Phone: (909) 387-3806
- Website: arc.sbcounty.gov
Because the form does not say whether it is delivered in person, by mail or another way, call the office at the number above or check the website before sending it. Sign the form first, since it is an affidavit under penalty of perjury, and leave the Recorder-County Clerk use only box blank. The form lists no attachments and no fee. FillingPDF lets you fill out and download the PDF; submission follows the channels the county provides.
Common mistakes to avoid
- Using Form ARC 504 for a property tax refund when the county's forms list shows a separate Claim for Refund of Tax Payment handled by the Clerk of the Board.
- Using it for a documentary transfer tax refund, which has its own Documentary Transfer Tax Claim for Refund listed under the Recorder.
- Signing the affidavit while a refund of the same payment has already been made; the claimant certifies under penalty of perjury that none has.
- Submitting the form unsigned or without the date and time of execution.
- Leaving out the name, street address, city, state and ZIP code for the refund check under Make Refund Check Payable To.
- Writing in the Recorder-County Clerk Use Only box, which is for the office's approval or denial and remarks.
- Omitting the refund amount or the reason(s) for the refund.
- Leaving out a contact phone number and email address, which the form asks for.
Frequently asked questions
What is Form ARC 504, Claim For Refund?
Form ARC 504 is the San Bernardino County form for asking the Recorder-County Clerk to refund a payment. It records the amount, the reason and the payee for the check, and it includes a certification under penalty of perjury that no refund was made earlier.
Is the ARC 504 a San Bernardino County property tax refund form?
No. It is addressed to the Recorder-County Clerk. The county's forms list shows a separate Claim for Refund of Tax Payment under the Clerk of the Board and a separate Documentary Transfer Tax Claim for Refund under the Recorder, which are different forms.
Who signs the Recorder-Clerk Claim for Refund?
The claimant signs under Claimant Affidavit of Original Payee and types or prints their name and title. The form does not describe signing for someone else, so ask the Recorder-County Clerk at (909) 387-3806 if a representative will sign.
Can I have the refund check made out to someone else?
The form has a Make Refund Check Payable To section with a name and address, separate from the signer's name and title. Enter the payee exactly as it should appear on the check and give a complete mailing address.
Where do I send the claim for refund?
The form is addressed to the San Bernardino County Recorder-County Clerk, 222 W. Hospitality Lane, 1st Floor, San Bernardino, CA 92415-0022, and lists (909) 387-3806 and arc.sbcounty.gov. It does not name a delivery method, so confirm one with the office.
Do I need to attach documents to Form ARC 504?
The form does not list any attachments. It asks for the amount, your reason(s) and your signed certification. If the office needs supporting records for your request, it will say so; call (909) 387-3806 to ask.
Can I fill out the Recorder-Clerk Claim for Refund online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service: it does not submit the claim or issue a refund, and you deliver the signed form to the Recorder-County Clerk yourself.
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