Surplus Claim Form
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Surplus Claim Form
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TANEY COUNTY
SURPLUS CLAIM FORM
NOTE: FORM MUST BE SIGNED BY ALL PARTIES AND NOTARIZED
I, __________________________ , shown in the Taney County Collector’s tax records as owner of the property
listed below, hereby claim the surplus amount of $ ____ resulting from the tax certificate sale conducted by the Taney
County Collector on ______ . I affirm that I am/was the legal owner of the below described property at the time the
property was sold at the tax delinquency sale and further affirm I am entitled to the surplus amount. By signing below, I
acknowledge the following:
Claiming surplus does not waive legal right of property redemption within statutory limits
The Taney County Treasurer processes surplus claims without charge
The claim may not be approved as submitted, and additional information might be requested
Property Description:
Property Parcel Number:
Current mailing address:
__________________________________________________________________________________________________
Street
________________________________________________________________________________________________________
City State Zip
Driver’s License/State ID Number_______________________________________________________________
Daytime Telephone Number(s)__________________________________________________________________
________________________________________________________________________________________________________
Signature Date
State of __________________________
County of _________________________
On this _____ day of ________________________ in the year _________, before me, the undersigned notary public,
personally appeared _________________________________________________________, known to me to be the person(s)
whose name(s) is/are subscribed to the within instrument and acknowledged that he/she/they executed the named for the
purposes therein contained. In witness whereof, I hereunto set my hand and official seal.
________________________________
Notary Public
Return form to Taney County Treasurer’s Office, 132 David St, MO 65653.
YOU MUST INCLUDE A PHOTO COPY OF DRIVER’S LICENSE(S) OR STATE ID(S).
Once paperwork is received and verified a check will be issued and mailed to address above.
Surplus Claim Form
The original county PDF remains the downloadable record artifact and the printable source document.