HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Housing Services; 2025-03-19This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
P a g e | 1
DATE: 3/19/25
REQUESTING DEPARTMENT:HOUSING &HOMELESS SERV.REQUESTER:ERIN PEAK
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
DEPT. HEAD/DIVISION MANAGER DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
*If more spaces are needed, click in the last box in right hand
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:___________________________DATE:______________
CERTIFICATE OF DESTRUCTION?YES NO
TAB BARCODES DELETED BY:_____ _______________________________ DATE:______________
BOX
NO.
RECORDS
DESCRIPTION DATED RRS NO.RRS PERIOD TAB BARCODE
(if applicable)
1 Minor Home Loan
Repair/Rehab Loans 1997-2019 HS-035
Loan payoff or
forgiven +5 years See Excel spreadsheet
RECORDS DESTRUCTION AUTHORIZATION FORM
Corodata 8/18/2025
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Docusign Envelope ID: C9E5A4D3-5C10-490D-AFC2-93A307E8BCC9
DATE: 3/19/25
REQUESTING DEPARTMENT: HOUSING & HOMELESS SERV. REQUESTER: ERIN PEAK
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
DEPT. HEAD/DIVISION MANAGER
{"city of
Carlsbad
DATE
4/1/2025
RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
corner of table ond hit "tob". This will create more fields in the table.
□
Property Address Owner Year of
Loan
Status Deed
7373 Portage Way Black, Kathleen 11/1/2016 Forgiven 2016-0632435
2838 Hillsboro Ct Dorsey, James & Christine 5/13/2009 Forgiven not recorded
521 Chinquapin French, Carole and Robert 9/29/1997 Paid 1997-0482356
521 Chinquapin French, Carole and Robert 8/5/1983 paid 1983-0294875
2021 Gayle St Hargis, Deborah 5/17/2017 Forgiven 2017-0293309
6550 Ponto Dr #14 Hird, James & Susan 9/11/2012 Forgiven NA
3449 Don Juan Dr Hobson, Denis 2/10/2000 Paid 2000-0101266
2010-06639953449 Don Juan Dr Hobson, Denis 12/2/2010 Forgiven 2010-0663995
7615 Romeria Johnston, David 4/26/2000 Paid 2000-0276099
3850 Highland Kern, Lawrence Madelein 1/19/1999 Paid 1999-00029199
446 Chinquapin Kern, Richard & Debra 12/12/1997 Paid 1997-0631452
351 Redwood Ave MacPherson, Roger & Marie 04/22/1985 Paid NA
7575 Caloma Circle Martineau, Francis Marilyn 12/23/1994 Paid 1995-0001933
6866 Peach Tree Rd McClure/Grawin 10/31/2019 Forgiven NA
2633 Hancock McDonald, Nancy 4/17/2014 Forgiven 2014-0152606
1771 Andrea Ave Michel-Delaune, Anne M 12/21/1994 Paid 1995-0073961
4845 Flying Cloud Way Ripley, Monica and Colin 12/7/2009 Forgiven 2010-0241570
1060 Chesnut Ave Rose, Alvin & Marie 4/19/2010 Forgiven 2010-0241580
2465 Levante St Smith, Brooke 1/3/2013 Forgiven not recorded
1724 Calavo Ct Stroben , Christopher & Teresa 5/17/2014 Forgiven 2010-0189624
3643 Adams St Yen, Danny & Wendy 12/2/2015 Forgiven 2015-0619814
Docusign Envelope ID: C9E5A4D3-5C10-490D-AFC2-93A307E8BCC9
Loan
Amount
LF Date
Disposed
File Barcode Box
$ 5,000 yes 19-Mar-25 PFLD-16-721 1
$ 1,510 yes 19-Mar-25 H0004697 1
$ 18,155 yes 19-Mar-25 H0000837 1
$ 5,568 yes 19-Mar-25 H0002125 1
$ 5,000 yes 19-Mar-25 PFLD-17-309 1
$ 5,000 yes 19-Mar-25 NA 1
$ 45,200 yes 19-Mar-25 H0004699 1
$ 5,000 yes 19-Mar-25 H0004699 1
$ 20,000 yes 19-Mar-25 H0000828 1
$ 20,000 yes 19-Mar-25 H0000838 1
$ 20,000 yes 19-Mar-25 H0000839 1
$ 17,319 yes 19-Mar-25 H0002126 1
$ 16,185 yes 19-Mar-25 H0000836 1
$ 2,682 yes 19-Mar-25 NA 1
$ 2,500 yes 19-Mar-25 H00004896 1
$ 19,400 yes 19-Mar-25 H0000841 1
$ 5,000 yes 19-Mar-25 H00004250 1
$ 5,000 yes 19-Mar-25 H0004251 1
$ 5,000 yes 19-Mar-25 NA 1
$ 5,000 yes 19-Mar-25 H00004701 1
$ 5,000 yes 19-Mar-25 PFLD-15-43365 1
Docusign Envelope ID: C9E5A4D3-5C10-490D-AFC2-93A307E8BCC9
CERTIFICATE OF DESTRUCTION & RECYCLING
This Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISION
Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then
recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not
inventory, record or track any information contained within or related to the Material.
Account #(s)SD012455
Certificate #105260
Date Issued Thursday, August 21, 2025
Service Locations 5815 EL CAMINO REAL
Date Range of Service Aug-18-2025 thru Aug-18-2025
Work Ticket(s)1539874
Quantity/Item 55 -58 Boxes for Destruction (standard)
* Nothing in this certificate shall be deemed to modify the terms of the parties’ Service Agreement(s) or Work Ticket(s).
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