Excessive Funds Claim (Page 3 of 5) in pdf

Excessive Funds Claim Page 3

OFFICE OF THE CLERK AND RECORDER

PUBLIC TRUSTEE DIVISION

Sindee Wagner, Chief Deputy Public Trustee

Debra Johnson

Clerk and Recorder

Public Trustee

EXCESS FUNDS CLAIM FORM

Homeowner(s) of record DO NOT need to pay a fee to the Denver Public Trustee or any third party to collect excess funds.

Public Trustee File Number (if known): _____________________________________________________

Property Address:

__________________________________________________________________

Claimant’s Information (print clearly):

Date: _________________________________

Self

Relative OR

Personal Representative for _____________________________________

Claimant’s Name: _______________________________________________________________________

Address:

_________________________________________________________________________

Phone:

_________________________________________________________________________

Email:

_________________________________________________________________________

If Collecting funds via:

Attorney

Party

Other

Company Name: ________________________________________________________________________

Representative’s Name: __________________________________________________________________

Address:

_________________________________________________________________________

Phone:

_________________________________________________________________________

Email:

_________________________________________________________________________

TO CLAIM FUNDS: Submit this claim form AND the documents listed below to our office, located at

201 West Colfax Avenue, Dept. 101, Denver, CO 80202, Monday-Friday, 8:00 AM to 4:30 PM.

DCR4016 REV 11/5/2014

Excessive Funds Claim Page 3