Surplus Funds Recovery Intake Form

This information is used exclusively to conduct a complementary forensic audit of county records and verify the status of unclaimed capital following a property sale.

1. Property Information - your previous address that was sold in foreclosure or tax sale.

Address

Street Address

City

State

Country

Postal Code

Type of Sale (if known):

Mortgage Foreclosure

Tax Deed Sale

Not Sure

2. Claimant Information - Please fill out with full legal name(s) on deed (please list all individuals or entities named as owners at the time of sale), current mailing address, best contact phone number, and email address.

First Name

Last Name

Phone

Email *

3. Additional Details (Optional but Helpful)

Approximate Date of Sale:

Are there any known secondary liens?

Yes

No

Not sure

Are you the original owner?

Yes

No

If no, are you the legal heir or executor?

Yes

No

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