Beginning January 1, 2020 verified California residents will have the right to request that we not sell their personal information. 99 Cents Only Stores does not disclose your personal information in exchange for monetary payment. However we may disclose or provides access to personal information to certain third parties that provide us with services such as helping us with advertising, data analysis and security, which may fall under the definition of “consideration” and be considered a “sale” under the CCPA. By completing this form you are instructing us to exclude your personal information from those transactions. To respond to your request we will need to collect information from you to enable us to link the information we hold to you. This process helps ensure that we are honoring your request by excluding information about you, and not information about someone else, from these transactions. You must be 16 years of age or older to make a request; if you are under 16, your parent or legal guardian must make the request on your behalf. First Name Middle Name/Initial Last Name Any other name you have used Current Street Address Apartment/Unit # Country State Zip Any other address you may have used Yes No Phone Number Any other phone number you may have used Yes No Email Any other email address you may have used Yes No If you are making the request as an authorized agent of the above individual, please upload a copy of the Power Of Attorney or other written authorization here Please upload a copy of the Power Of Attorney or other written authorization here if applicable Upload Files larger than 4 MB are not supported. Submit COPYRIGHT © 2018 99 CENTS ONLY STORES LLC. ALL RIGHTS RESERVED.