Madera Excess proceeds claim

Source: https://www.maderacounty.com/home/showpublisheddocument/46625/639008860151600000

MADERA COUNTY TREASURER-TAX COLLECTOR Defaulted Tax Sale and Excess Proceeds 200 W. 4TH STREET, SUITE 2200, MADERA, CA 93637 | TAXCOLLECTOR@MADERACOUNTY.COM

OFFICIAL CLAIM FORM FOR EXCESS PROCEEDS Effective August 1, 2025

Assessor’s Parcel Number (APN): _____________________ Assessee: ___________________________________________ Tax Sale Re-Offer Date: August 8, 2025 Property Address: ____________________________________ Date Deeded to purchaser: August 27, 2025 DEADLINE TO SUBMIT A CLAIM: August 27, 2026 CLAIMS NOT POSTMARKED ON OR BEFORE THE DEADLINE WILL NOT BE ACCEPTED. THE OFFICIAL CLAIM FORM FOR EXCESS PROCEEDS MUST BE USED. EACH PARTY MUST FILE A SEPARATE CLAIM FOR THEIR INDIVIDUAL INTEREST. THIS INCLUDES SPOUSES, JOINT TENANTS, LIENHOLDERS, HEIRS, AND ASSIGNEES. IN ADDITION TO THIS CLAIM FORM, YOU MUST ALSO PROVIDE DOCUMENTATION EVIDENCING YOUR INTEREST IN THE PROPERTY. SEE INSTRUCTIONS. CERTIFICATION OF CLAIMANT CLAIMANT TYPE (Check the appropriate box) CLAIMANT AMOUNT ☐ Owner of Record Dollar Amount Claimed: $ __________________ or ☐Lienholder of Record Percentage Claimed: ___________________ % ☐Qualified Heir(s) of Owner of Record ☐ Assignee of a Party of Interest ☐Claimant Filing on Behalf of a Business CLAIMANT INFORMATION If acting on behalf of a business entity, I am duly authorized to act on its behalf pursuant to my title Print Name as indicated below:

Mailing Address (Non U.S. Postal System Box No. is Not Acceptable) Title

Area Code and Daytime phone number Name of business Entity or Partnership

Social Security Number Partnership or Corporate Tax I.D. Number

Government Issued ID type and No.: ______________________________ State: ___________ Expiration Date: ____________________

I, the undersigned claimant, certify that the foregoing is true and correct. I request that I be awarded the excess proceeds resulting from the sale of the above-referenced property. I have read the Instructions for Filing Excess Proceeds Claims. I am a party of interest for this property, and I have submitted supporting documentation proving my claim. (Signature must be notarized)

Signature of Claimant: __________________________________ Date: ____________________ NOTARY ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, not the truthfulness, accuracy, or validity of the document. State of California County of _________________________ On _____________, before me, ______________________________________________________________________________________, Notary Public, personally appeared _______________________________________________________________________________________________, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under penalty of perjury under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal.

Signature of Notary: ___________________________________ (Seal)

MADERA COUNTY TREASURER-TAX COLLECTOR Defaulted Tax Sale and Excess Proceeds 200 W. 4TH STREET, SUITE 2200, MADERA, CA 93637 | TAXCOLLECTOR@MADERACOUNTY.COM

ASSIGNMENT OF RIGHTS FOR EXCESS PROCEEDS Effective August 1, 2025

Under Revenue and Taxation Code Section §4675 a party of interest in a property that was sold at tax sale may assign his or her right to claim excess proceeds ONLY:

• By using a dated, written instrument that explicitly states that the right to claim excess proceeds is being assigned,
and after each party to the proposed assignment has disclosed to each other party all facts relating to the value of the
right that is being assigned.

Any person or entity who in any way acts on behalf of, or in place of, any party of interest with respect to filing a claim for excess proceeds shall submit proof with the claim that:

• The amount and source of the excess proceeds has been disclosed to the party of interest, and the party of interest
has been advised of their right to claim excess proceeds on their own behalf directly with the county at no cost.

If you prefer to have an agent file your claim for you, or if you should decide to sell or assign your claim, this "assignment" must be completed and submitted in addition to the Claim for Excess Proceeds. An assignment that does not comply with these requirements shall have no effect.

If a party of interest’s right to claim excess proceeds is assigned to another individual or to a company (assignee), the Madera County Treasurer-Tax Collector’s Office will only issue one (1) check, for the entire claim amount, to the assignee. It is the assignee’s responsibility to inform the Madera County Treasurer-Tax Collector’s Office to whom the check should be made payable and the address to which it should be sent.

Please complete the following information: I, ________________________________________________________________ the undersigned party of interest, as assignor, have been informed of my right to the excess proceeds which you are holding and to which I am entitled from the sale of Assessor’s Parcel No. _______________________________, sold at public auction on ____________________________.

I understand that the total amount of excess proceeds available for refund is $____________________ and that I am giving up my right to file a claim for these excess proceeds. I have disclosed these facts to the below-listed assignee.

I have been advised of my right to claim excess proceeds on my own behalf without an assignment at no cost, but do hereby instruct the Madera County Treasurer-Tax Collector’s Office to issue a check for the entire claim amount to the following assignee at the address listed below: Party of Interest Name: _____________________________________ Assignee Name: _______________________________________

Mail Check to: ______________________________________________________________________________________________________ I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing is true and correct.

Signature of Party of Interest: ______________________________

NOTARY ACKNOWLEDGMENT

A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of _________________________ On _________________, before me, ___________________________________________________, Notary Public, personally appeared ___________________________________________________________________________, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to this document and acknowledged to me that he/she executed the same in his/her authorized capacity, that by his/her signature on this document the person, or the entity upon behalf of which the person acted, executed this document.

Witness my hand and official seal. Signature of Notary: _________________________________________ (Seal)

MADERA COUNTY TREASURER-TAX COLLECTOR Defaulted Tax Sale and Excess Proceeds 200 W. 4TH STREET, SUITE 2200, MADERA, CA 93637 | TAXCOLLECTOR@MADERACOUNTY.COM

INSTRUCTIONS FOR FILING EXCESS PROCEEDS CLAIMS Effective August 1, 2025 Per California Revenue and Taxation Code §4675

Failure to provide any information requested on the Claim Form for Excess Proceeds may, in the reasonable discretion of the Madera County Treasurer Tax Collector’s office, result in denial of the claim. The Claim Form for Excess Proceeds is attached to these instructions.

Revenue and Taxation Code, Section 4575, states in part (paraphrased): For the purposes of this article, parties of interest and their order of priority are: A. First, lien holders of record prior to the recordation of the tax deed to the purchaser in the order of their priority. B. Then, any person with title of record to all or any portion of the property prior to the recordation of the tax deed to purchaser. If the person with the title of record is deceased at the time excess proceeds are distributed, their heirs may submit an affidavit in accordance with California Probate Code §13100 (Chapter 3, Part 1, Division 8) to support their claim. C. A party of interest in the property at the time of the sale may assign his or her right to claim the excess proceeds only by a dated, written instrument that explicitly states that the right to claim the excess proceeds is being assigned, and only after each party to the proposed assignment has disclosed to each other party to the proposed assignment all facts of which he or she is aware relating to the value of the right that is being assigned. If you believe you qualify as a party of interest in the sale of tax-defaulted property described on the enclosed Claim Form, please complete and sign the Claim Form. Required Supporting Documentation In addition to a completed and signed Claim Form, you must provide the following supporting documentation in order to establish your rights to all or any portion of the excess proceeds. Supporting documentation provides evidence that helps to ensure that the claim is legitimate and helps prevent errors or fraud. A list of examples of supporting documentation is provided in these instructions. All Claimants (Parties of Interest) must submit a clear copy of valid government issued photo identification (i.e., driver’s license, state ID, passport). Expired photo identification will not be accepted. Parties of Interest under subsection (A): Trust Deed beneficiaries must submit the original promissory note, trust deed and any assignments, evidencing the lien or security interest, along with a statement setting forth the original amount of the lien, the total amount of payments received reducing the original amount of the lien, and the amount that was still due and payable as of the date of the sale of the tax defaulted property by the Tax Collector. If you are a judgment creditor or other type of lienholder, you also must submit a statement setting forth the original amount of the lien, the total amount of payments received reducing the original amount of the lien, and the amount that was still due and payable as of the date of the sale of the tax defaulted property by the Tax Collector. In addition, judgment creditors must also submit verifiable proof that the judgment debtor is the person(s) who possessed record ownership of the property sold at the tax sale. Parties of Interest under subsection (B): You must submit original recorded documents (e.g., deed, death certificate, court order, etc.) supporting your claim. You must also submit a notarized verification that you are the person named in the document where you acquired title, and photo proof of identity (i.e., current driver’s license, passport etc.). You should also submit supporting documentation such as utility payments, property improvement/repair receipts and other such types of documents to prove your claim. If you are claiming as an heir pursuant to Chapter 3 of the Probate Code, in addition to the above required documentation, you must also submit a properly completed affidavit and a notarized verification of proof of identity.

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Parties of Interest under subsection (C): You must submit, in addition to the proof required of lienholders and persons with title of record, proof in the form of a verified affidavit executed by all parties to the assignment, that the amount of excess proceeds has been disclosed to the party of interest and that the party of interest has been advised of his or her right to file a claim for the excess proceeds on his or her own behalf. PLEASE NOTE: Except upon a showing of good cause, the Madera County Treasurer-Tax Collector requires submission of original documents. Originals will be returned to the claimant upon request or if a pre-paid, self- addressed envelope is included together with a request for the return of original documents. If a claimant does not wish to part with an original document, they may schedule an in-person inspection with office staff. If an original document (such as a promissory note) has been lost or is otherwise unavailable, the claimant must submit corroborating evidence that reasonably proves the existence and terms of the document. Lost document affidavits will not be accepted without such supporting evidence. Copies of promissory notes or modifications are generally not accepted, as these are negotiable instruments that may be transferred by endorsement. If the claimant is unable to produce the original or sufficient corroboration, they may be required to obtain a court order under California Civil Code §3415, establishing the existence and terms of the lost note or document. Assignment of Right / Appointment of Agent A party of interest may assign their right to claim excess proceeds only through a dated, written agreement that clearly states the right to claim is being assigned. This assignment can only occur after all parties involved have fully disclosed to each other any known facts affecting the value of the right being assigned. The following must be documented in the form of a verified affidavit executed by all parties to the assignment: • The claimant was informed of the amount and source of the excess proceeds. • The claimant understands they may file a claim directly with the County at no cost on their own behalf. To assign this right, the claimant must complete the Assignment of Right to Collect Excess Proceeds form. Any assignment that does not meet these requirements will be considered invalid. All standard supporting documentation is still required when an assignment or authorization is involved. If the assignment is approved, the refund warrant will be issued in the names of both the assignor and the assignee. Claims Filed by Business Entities Claims filed on behalf of a company must be signed by either corporate official(s) (President, Vice President, Secretary, or Treasurer), a partner, or the sole owner. The party or parties must provide documentation proving his, her, or their authority to sign for the company. In addition, certified documentation must be provided indicating the type of business entity. (articles of incorporation, by-laws, statement by domestic stock corporation, partnership agreements, fictitious business name filing, etc.) Submission of Claim To be eligible for excess proceeds, each party of interest must submit a separate claim, including spouses, joint tenants, heirs, and business entities. Claims may be submitted in the following ways:

• By U.S. Mail: In a sealed envelope with proper postage. • By IRS-approved or independent delivery service: In a sealed, prepaid package approved by the Tax Collector.

Important: Claims must be postmarked or shipment-dated on or before the final deadline stated on the claim form (one year from the date the tax deed to the purchaser was recorded). If a claim does not have a postmark, the filing date will be based on the date it is received by the Madera County Treasurer-Tax Collector’s Office. Two or more claimants (e.g. siblings, heirs, husband and wife) may submit their claims together in one envelope with shared back-up materials only if the supporting documents demonstrate that they have equal ownership rights (e.g. 50% each, 25% each, husband and wife as joint tenants, etc.); an additional fee may be charged for each additional disbursement warrant, when more than one warrant is required.

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The claim form must be completed, notarized and accompanied by all required documentation. Submissions must be sent to:

Mail to: Madera County Treasurer-Tax Collector Attn: Excess Proceeds Claims 200 W. 4th Street, Suite 2200 Madera, CA 93637

CLAIM REVIEW AND DISTRIBUTION OF EXCESS PROCEEDS

No sooner than one year after the recordation of the tax deed to the purchaser, and if the excess proceeds have been claimed by any party of interest, the excess proceeds will be distributed on order of the board of supervisors The excess proceeds will be distributed to eligible parties of interest who have claimed the excess proceeds in the order of priority. Public Records Notice Under the California Public Records Act, lists of eligible claimants may be released upon request. These lists may include names and contact information. The Madera County Treasurer-Tax Collector is not required to notify individuals prior to releasing this information. Claim Review Process The Madera County Treasurer-Tax Collector’s office is responsible for conducting a thorough review of the claims and supporting documentation by the established deadline. All claims will be reviewed after one year has passed from the date the tax deed was recorded. The Madera County Treasurer-Tax Collector will: • Review submitted claims to determine whether the documentation supports the claimant’s legal entitlement to the excess proceeds. • Assess the sufficiency of the evidence provided in the claims to determine whether it supports the claimant’s entitlement to excess proceeds. • Accept claims filed directly by individuals, business entities, or by a legally authorized agent, attorney-in- fact, or representative. However, disbursement will be issued only in the name of the principal, even if submitted by a representative. • Evaluate the completeness and sufficiency of each claim at the time of submission. The Treasurer-Tax Collector is not obligated to notify claimants of missing or incomplete documentation, nor will additional time be granted beyond the statutory deadline. Deadline to File a Claim Final Deadline: One Year from the Date of the Tax Deed Recordation • The final claim submission deadline is printed on your Excess Proceeds Notice. • Late or incomplete claims will not be accepted or reconsidered. • Missing documents or information will not be accepted after the deadline. • The County has no obligation to extend the deadline or request missing documents once the deadline has passed. Preliminary Claim Review The Madera County Treasurer-Tax Collector may at their discretion review claims filed prior to the final thirty (30) days of the one (1) year filing period for completeness. The preliminary review is intended as an opportunity for the Madera County Treasurer-Tax Collector’s Office to make an evaluation of the claim for purposes of determining whether additional documentation is needed. However, the Madera County Treasurer-Tax Collector does not guarantee a preliminary review of claims, nor does it guarantee that the additional documentation requested will result in an approved claim. Missing documents or information will not be accepted after the deadline.

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The Madera County Treasurer-Tax Collector’s Office will not perform a preliminary review of claims received during the final thirty (30) days of the one (1) year filing period. If multiple claims are received and eligibility is unclear, the matter will be referred to County Counsel for interpleader, which may delay disbursement. Notification of Claim Decision Pursuant to California Revenue and Taxation Code section 4675, claims will be processed after one (1) year has passed from the date of the recording of the deed to the purchaser. Once preliminary determinations have been reached, the Madera County Treasurer-Tax Collector will publish a press release with the hearing date in the local newspaper of general circulation. All valid, invalid, and denied claims will be presented to the Madera County Board of Supervisors for final review and authorization at a public hearing. Once the Madera County Board of Supervisors makes its final determination as to a claim, a notice of determination will be sent to the claimant. Appeal Period Pursuant to California Revenue and Taxation Code section 4675(g), the deadline for any action or proceeding to be commenced to review the decision of the Madera County Board of Supervisors is 90 days after the notice of determination is mailed to the claimant. Petitioning of the Board of Supervisors A delay of the distribution of excess proceeds must occur if the board of supervisors has been petitioned to rescind the tax sale. Any excess proceeds should not be distributed to Party of interest sooner than one year following the date the board of supervisors determines the tax sale should not be rescinded, and only if the person who petitioned the board of supervisors has not commenced a proceeding in court pursuant to Revenue and Taxation Code section 3725. If a proceeding has been commenced in a court pursuant to Revenue and Taxation Code section 3725, any excess proceeds shall not be distributed to POI until a final court order is issued [Rev. & Tax. Code, §4675(e)(2)(B)]. Distribution of Excess Proceeds The Madera County Auditor-Controller will keep a proper record of each claim to be paid and will be notified by the Madera County Treasurer-Tax Collector of any litigation institute concerning any claim made or paid under California Revenue and Taxation Code section 4675. Proceeds will be disbursed after the ninety (90) day appeal period has ended. Upon order of the Board of Supervisors, in proper proportion, according to priority as stated in California Revenue and Taxation Code 4675(e). • An amount equal to the costs of obtaining the name and last known mailing address of interested parties and of mailing or publishing the required notices will be deducted and distributed appropriately. • If there are sufficient excess proceeds remaining after the above-described distribution, the Madera County Treasurer-Tax Collector’s office will pay claimants the amount of their approved claims, in accordance with the priority established by the policy. For approved claims a $300 administrative fee per valid claim will be deducted, per Madera County Ordinance Code §3.46.050. • Any remaining unclaimed excess proceeds will be transferred to the county general fund.

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Supporting Documentation Instructions & Checklist Per California Government Code §8202(b) and Revenue & Taxation Code §4675

General Requirements • All documentation must be submitted with the Excess Proceeds Claim Form. • Claim forms and declarations must be verified under penalty of perjury and notarized in accordance with California Government Code §8202(b). • It is the claimant’s responsibility to provide all necessary documentation proving legal interest in the property sold. • Only original or certified recorded documents will be accepted (e.g., deeds, birth/marriage certificates, court orders). • The Treasurer-Tax Collector’s Office is not responsible for notifying claimants of missing documents or incomplete claims. • All Excess Proceeds Completed Claim packets must include Supporting documentation and a clear copy of valid Government issued photo identification.

Required Identification (for all individual claimants) • Valid Government Issued Photo ID (but not limited to): o State Driver’s License o State ID o U.S. or Foreign Passport o Military ID o Consular ID Card

Examples of Required Supporting Documentation The documentation listed below represents the most common types required to support claims for excess proceeds. However, this list is not exhaustive, and the Treasurer-Tax Collector may request additional documents as needed to validate and complete a claim. Person(s) with Title of Record Documents required of a person(s) or an entity(ies) who held record title to the tax-defaulted property can include the following: • Documents (e.g., deed, court order) supporting claimant’s right to excess proceeds as the person(s) or entity(ies) that held record title to the tax-defaulted property. • Additional documentation sufficient to support the claim (e.g., at least two utility and/or tax bills for the property in the claimant(s)’s name, such as title insurance policy or other confirming documentation, electric, television, internet subscriptions, and original tax bills). • If title to the property was in a recorded trust, the original trust document indicating that the claimant(s) is/are the trustee(s) or successor trustee(s) of the trust authorized to file claims on behalf of the trust. NOTE: If a business held a record title to the tax-defaulted property, the claimant should submit the appropriate documents that show the business and claimant’s right to make a claim. Judgement Creditors Documents that can be required of a judgment creditor can include the following: • Documents showing the judgment creditor was the person(s) who possessed record ownership of the tax- defaulted property at the time of the tax sale. • The judgment(s)/lien(s). • Any statement or orders setting forth any modification(s) to the judgment(s)/lien(s).

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• A statement setting forth: o The total amount of payment(s) received, and date(s) received. o The amount still due and payable as of the date of the sale of the tax defaulted property. • If the judgment creditor is a business, the claimant should submit documents that show the business and claimant’s right to make a claim. Mortgage Lenders and Deed of Trust Beneficiaries Documents that can be required of mortgage lenders and deed of trust beneficiaries can include the following: • The promissory note(s) and all amendments or other modifications (if any) on the tax-defaulted property. o Copies of any promissory note(s) and/or modifications of the promissory note(s) are unacceptable. o The only alternative to providing an original promissory note is a court order pursuant to California Civil Code section 3415, which establishes the existence and terms of a lost note. • The Deed of Trust/Mortgage. • Assignments (if any). • A statement setting forth: o The original amount of the obligation. o Any advances or modifications to the original obligation. o The total amount of payment(s) received, and date(s) received. • The amount is still due and payable as of the date of the sale of the tax-defaulted property. • If the note was in default according to its terms at the time of the tax sale (other than for defaulted taxes), documentation evidenced of all collection efforts by the claimant. • If the mortgage lender or deed of trust beneficiary is a business, the claimant must submit documents that show the business and claimant’s right to make a claim. Qualified Heir(s) or Successor of Person(s) or Entity(ies) with Title of Record or Other Interest Party Documents required of qualified heir(s) of a person who held record title to the tax-defaulted property or other interested party can include the following: • Documentation proving claimant is an heir (e.g., court order, petition for letters of administration). • If applicable, a notarized probate affidavit (Cal. Prob. Code, §§13100-13117). • If applicable, the last will and testament and any codicils thereto of a person(s) who held record title to the tax-defaulted property or other interested party. • If the interested party is a business, the claimant must submit documents that show the business and claimant’s right to make a claim. If the claimant has been assigned the right to claim, is acting on behalf of a claimant, or is an heir of a party of interest, additional documentation will be required with the documents listed in this section. R&T 4675(C)and(F) Assignee(s) of an Interested Party Options for documents that can be required of an assignee of an interested party can include the following: • Proof that the amount and source of excess proceeds was disclosed to the interested party. • Proof that the interested party was advised of his/her right to file a claim for excess proceeds on his/her own behalf directly with the county at no cost. • Contact information of the interested party, including name, address, phone number, and email. If the assignee of an interested party is a business, the claimant should submit documents that show the business and claimant’s right to make a claim. Assigning Claim Rights • If assigning your claim, submit a completed Assignment of Right to Collect Excess Proceeds form. • If appointing someone to act on your behalf, submit an Authorization for Agent to Collect Excess Proceeds form. • Assignments must comply with R&T Code 4675 to be valid. • Refund checks for approved assignments will be issued to both assignor and assignee. • Assignment of excess proceeds with affidavit of assignment, notarized, and signed after the tax sale. • An assignment of interest that explicitly states that the right to claim excess proceeds is being assigned.

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Acting on behalf, or in place of, a party of interest • Proof that the amount and source of excess proceeds have been disclosed to POI. • Proof that POI has been advised of their right to file a claim for the excess proceeds on their own behalf at no cost. Heir of a party of interest If the claimant is submitting a claim as an heir pursuant to California Probate Code sections 13100 et seq.), in addition to proof required of lienholders and persons with title of record, other documentation that may be required include the following: • Probate documentation • Death certificate • Will • Affidavit and notarized verification of proof of identity • Other documentation as determined by the board of supervisors

Claims Filed on behalf of any Businesses All claim forms must be signed by an individual with corporate authority for the business, such as an officer, general partner, or sole proprietor. In the case of a corporation, the parent corporation is merely a shareholder of its subsidiary corporation; it does not own the corporate property of its subsidiary. Therefore, a parent corporation, regardless of the percentage of shares owned, is not a party of interest of its subsidiary’s recorded lien or title of record. All business entities must provide proof of their Federal Employer Identification Number (FEIN) assigned to the business. Suggested documents include: • “Letter of Confirmation” from the IRS showing assignment of the FEIN • Copy of received tax statement, such as: o IRS Form 1098, statement of interest paid; or o IRS Form 1099-INT or 1099-DIV, statement of interest or dividends earned; or o IRS assignment of FEIN internet confirmation page o Tax returns, IRS Form SS-4 application or W-9 will not be accepted to verify FEIN. Corporation Provide proof that claimant is an officer of the corporation. Suggested documents include the following, but any documentation must demonstrate entitlement and authority to claim on behalf of the corporation. The documentation should also show the legal standing of the corporation. • Corporate Resolution and/or The Articles of Incorporation • The most recent Statement of Information (or equivalent from state in which business operates) filed with the Secretary of State. If the business e-filed the Statement of Information, provide a copy of the Statement of Information and a copy of the payment receipt provided by the Secretary of State • Certificate of Dissolution; if applicable • Other documents may be accepted if they prove claimant, is a corporate officer. NOTE: A parent corporation, regardless of the percentage of shares owned, is not an interested party of its subsidiary’s recorded lien or title of record because the parent corporation is merely a shareholder of its subsidiary corporation; it does not own the corporate property of its subsidiary.

Limited Liability Company A claimant making a claim on behalf of a limited liability company should provide proof that the claimant is a manager or officer of the limited liability company who has the authority to make a claim on behalf of the company. The documentation should also show the legal standing of the limited liability company. • Company Resolution • Operating Agreement • Articles of Incorporation • Certificate of Dissolution; if applicable 8 Rev. 8/2025

• The most recent Statement of Information filed with the Secretary of State. If the business e-filed the Statement of Information, provide a copy of the Statement of Information and a copy of the payment receipt provided by the Secretary of State. • Other documents may be accepted if they prove claimant is a manager or officer. Limited Partnership A claimant making a claim on behalf of a limited partnership should provide proof that the claimant is a general partner of the limited partnership who has the authority to make a claim on behalf of the partnership. The documentation should also show the legal standing of the limited partnership. • Certificate of Limited Partnership filed with the Secretary of State. If the business e-filed, provide a copy of the document and a copy of the payment receipt provided by the Secretary of State • Partnership Agreement • Certificate of Dissolution, if applicable • Other documents that prove that the claimant is a general partner of the limited partnership. General Partnership A claimant making a claim on behalf of a general partnership should provide proof that the claimant is a general partner who has the authority to make a claim on behalf of the partnership. The documentation should also show the legal standing of the general partnership. • Statement of Partnership Authority • Partnership Agreement • Certificate of Dissolution, if applicable • Other documents may be accepted if they prove claimant, is a general partner. Sole Proprietorship Provide the following documentation: • Current or final federal tax return, including Schedule C • Most current business licenses or facility permit; and • Fictitious Business Name filing (filed with county), if applicable • Other documents if they prove that the claimant is the sole proprietor of the business Business Merger If the business entity that was originally the party of interest has merged with or been sold to another entity, should provide a copy of the merger or purchase agreement along with the other required information. Suspended Business If the business entity that is the party of interest was suspended by either the Secretary of State or the Franchise Tax Board (FTB), provide proof that the business is no longer suspended, such proof may include: • If the business was suspended by the Secretary of State, provide a Certificate of Good Standing. You can obtain the certificate by contacting the Secretary of State Information Services Office at (916) 657- 5448, or by following the instructions located on the Secretary of State’s website. • If the business was suspended by the Franchise Tax Board (FTB), provide a copy of an Entity Status Letter. You can obtain the letter by contacting the FTB or by visiting the Franchise Tax Board’s website.

IMPORTANT SUBMISSION INSTRUCTIONS

BEFORE SUBMITTING YOUR CLAIM, PLEASE CAREFULLY REVIEW THE INSTRUCTIONS FOR FILING EXCESS PROCEEDS CLAIM" PACKET TO ENSURE ALL REQUIREMENTS ARE MET. CLAIMS THAT ARE INCOMPLETE, MISSING REQUIRED DOCUMENTATION, OR NOT PROPERLY NOTARIZED WILL BE DENIED WITHOUT EXCEPTION. TO PROTECT YOUR SUBMISSION, IT IS STRONGLY RECOMMENDED THAT YOU SEND YOUR COMPLETED CLAIM FORM AND SUPPORTING DOCUMENTS BY CERTIFIED MAIL TO ENSURE DELIVERY AND TRACKING.

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