Excess Funds Claim – Homeowner Intake Questionnaire

  • Excess Funds Claim – Homeowner Intake Questionnaire

    For potential incoming homeowners seeking to submit an excess/surplus funds claim in Georgia

  • Instructions: Please complete all sections. If a question does not apply, write “N/A.” Upload supporting documents where indicated. Incomplete forms may delay review.

  • 1) Contact & Identity

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Preferred Communication Method*
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  • 2) Property & Sale Details

  • Type of Sale*
  • Date of Sale (if known)
     - -
  • Do you know the approximate amount of excess funds?*
  • Have you contacted the trustee/court/tax office about the funds?*
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  • 3) Ownership & Authority

  • How did you hold title at the time of sale?*
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  • Acquisition method*
  • Were you the owner of record on the date of sale?*

  • If owner is deceased:

  • Date of death
     - -
  • Has an estate been opened?*
  • Status/Personal Representative/Administrator appointed?
  • Do Letters Testamentary/Administration exist?*

  • If title in a business/trust:

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  • 4) Liens, Mortgages, and Claims Against Funds

  • At the time of sale, did any of the following exist?*
  • Have any creditors asserted a claim to the excess funds?*
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  • 5) Bankruptcy / Divorce / Litigation

  • Have you ever filed bankruptcy?*
  • Filing date
     - -
  • Discharge/dismissal date
     - -
  • Is/was the property or proceeds part of the bankruptcy estate?*
  • Divorce or domestic relations orders affecting the property/funds?*
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  • Any pending lawsuits/judgments involving you or the property?*
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  • 6) Occupancy & Tenancies (historical)

  • Who lived at the property in the 12 months before the sale?*
  • Were there tenants?*
  • Did you receive relocation assistance or “cash for keys”?*
  • Did you remove any fixtures after sale notice?*

  • 7) Prior Assignments, Attorneys, or Recovery Companies

  • Have you signed any agreement assigning your right to excess funds?*
  • Have you previously hired an attorney or a third‑party company for this claim?*
  • Have any claims already been filed in court or with the trustee/county?*
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  • 8) Notices You Received

  • Did you receive any of the following (check all that apply):
  • Date interpleader served (paperwork received)
     - -
  • Has an answer been filed?
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  • 9) Supporting Documents Checklist

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  • Should be Empty: