NOTICE OF TAX DEED SALE SURPLUS
Tax
Deed File No: __________________________
Certificate No: ____________________________
LEGAL DESCRIPTION
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Pursuant to Chapter 197, Florida Statutes, the above property was sold at public sale on ________________.
After payment of all funds due to governmental units has been made, a surplus of ______________________
(
subject to change) will remain and be held by this office for a period of ninety (90) days from the date of this
notice for the benefit of persons having interest in and to this property as described in section 197.502(4),
Florida Statutes, as their interests may appear.
Th
ese funds will be used to satisfy in full, to the extent possible, each senior mortgage or lien on the property
before distribution of any funds to any junior mortgage or lien. In order to be considered for distribution of any
funds, you must submit a notarized statement of claim to this office, detailing the particulars of your lien, and
the amounts currently due, within 90 days of the date of this notice.
A
copy of this notice must be attached to your statement of claim. After examination of the statements of claim
filed, this office will notify you if you are entitled to any payment.
If your claim has been satisfied, released, or you are waiving your claim, please check the “No claim will be
filed” box on the claim form and return it to our office so that any other liens can be considered.
Dated: _________________
SCOTT ELLIS
BREVARD COUNTY CLERK OF COURT
B
y: ___________________________________
Deputy Clerk (SEAL)
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signature
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CLA
IM TO SURPLUS PROCEEDS OF A TAX DEED SALE
Complete and return to
BREVARD COUNTY CLERK OF CIRCUIT COURTS
PO BOX 219
TITUSVILLE, FL 32781-0219
Note: The Clerk must pay all valid liens before distributing to a titleholder
Claimant’s name
Contact name if claimant is not an individual
Address
Zip
Phone no.
Email address
Tax deed no.
Date of sale (if known)
I am not making a claim and waive any claim I might have to the surplus funds on this tax deed sale.
I claim surplus proceeds resulting from the above tax deed sale. I am a ____ Lienholder ____ Titleholder.
1. LIENHOLDER INFORMATION (Complete if claim is based on a lien against the sold property)
A. Type of Lien: ___ Mortgage; ___ Court Judgment; ____ Other-Describe in detail:
__________________________________________________________________________________________
If your lien is recorded in the ___________________ County Official Records, list the following, if known:
Recording date _______________; Instrument # ________________; Book# ________Page# ________
B
. Original Amount of Lien $ ____________________
C. Total amount due (as of date of sale) $_____________________
2. TITLEHOLDER INFORMATION (Complete if claim is based on title held on sold property)
A. Amount of surplus tax sale proceeds claimed $ ____________________
B. Was property homestead at the time of sale? ____ Yes ____ No
3. I hereby swear that all of the above information is true and correct.
Da
te: _________________________ Signature: ___________________________________________
Claimant
STATE OF _______________________
COUNTY ________________________
Sworn to or affirmed and signed before
me on
by ____________________________.
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of notary]
____ Personally known
____ Produced identification; Type of identification produced _
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