Tax Sale Overage Claim Form

Tax Sale Overage Claim Form
Use this form to request excess proceeds from a tax sale by providing claimant details, property and sale information, your claim basis, and supporting documents.
Claimant Information
Claimant Full Name
First NameMiddle NameLast Name
Mailing Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Property and Tax Sale Details
Property Address or Parcel Description
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
County or Jurisdiction Where Tax Sale Occurred
Tax Sale Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reference Number
Claim Basis and Documentation
Claim Basis
Other
Explanation of Claim
Supporting Documents
Cancelof
Certification
Should be Empty: