REQUEST FOR REDACTION OF PERSONALLY IDENTIFYING INFORMATION FROM ELECTRONIC DATABASES
Book No. ____________________ Page No. ____________________ or Instrument No. ____________________
State of Tennessee
County of ______________
Personally appeared before me, ______________ (person duly authorized to take acknowledgments in [____________________] county), the within named ____________________, with whom I am personally acquainted (or proven to me on the basis of satisfactory evidence) and who acknowledges that such person executed the within instrument for the purpose of making a request of the Register of Deeds of ______________ County, Tennessee, to redact personally identifying information from the aforementioned record, excepting microfilm records.
Witness my hand this ____________________ day of ______________, 20____________________.
____________________
(signature of person taking acknowledgement)
[Space for Seal of Office]
T.C.A. § 10-7-515