DOR Test Form

DOR Deed of Re-Conveyance

Fill out these field to generate a PDF that you will print.

Your Email(Required)

For receiving this PDF

Your Name

Your first name, Ex: John

First

Your Full Name(Required)

First Middle Last

Your Full Name in ALL CAPS(Required)

EX: MARY BETH CARPENTER

First Middle Last

Your Current Address(Required)

Street Address City State ZIP Code

Your Birth Certificate Number

Your Social Security Number

Father's Full Name

Or legal guardian, as listed on your birth certificate. This must be ALL CAPS.

First Last

Mother's Full Name

Or legal guardian, as listed on your birth certificate. This must be ALL CAPS.

First Last

Your Day of Birth

Your Month of Birth

Your Year of Birth

Your Birth City

Your Birth County

Your Birth State

Your Birth Hospital

The recorded Day (date) on your Birth Certificate

This will be different than your actual date of birth.

The recorded Month (month) on your Birth Certificate

This will be different than your actual date of birth.

The recorded Year (year) on your Birth Certificate

This will be different than your actual date of birth.

Local File Number

For your county of birth

The title of the Department of Human resources in your Birth County

EX: TEXAS DEPARTMENT OF HEALTH - BUREAU OF VITAL STATISTICS

All variations of your name

Separate each with a comma. This could be maiden, then married etc. EX: Joseph Matthew Smith, Joe Smith, Joe Matthew Smith, Joseph M Smith, JM Smith, J.M. Smith, JOSEPH MATTHEW SMITH, JOE SMITH, JOE MATTHEW SMITH, JOSEPH M SMITH, JM SMITH, J.M. SMITH

Man or Woman?(Required)

Select the appropriate field from the dropdown.

For Notary Section: He or She?(Required)

Select the appropriate pronoun field from the dropdown. (Not the "WOKE" kind.)

For Notary Section: Man or Woman?(Required)

Select the appropriate field from the dropdown.

For Notary Section: His or Hers?(Required)

Select the appropriate pronoun field from the dropdown. (Not the "WOKE" kind.)

Your Current State (notary format)(Required)

Please type in "State of" EX: State of Texas

State

Your Current County (notary format)

Please type in "County of" EX: County of Fulton

The last number of the current year

EX: if 2024, just use 4

Today's Date (Day)

Today's Month (Month)

Today's Year (Year)

Nobiliary Particle Name

Type out First and Middle name, then add "of The House of" before the last name. EX: Thomas Jay; of The House of Jones