Excess Funds Claim – Interested Party Intake Questionnaire

Excess Funds Claim – Interested Party Intake Questionnaire

For lienholders, creditors, or other interested parties seeking to submit an excess/surplus funds claim through E. Albert Law, LLC
Instructions: Please complete all sections. Attach supporting documents where required. This intake is for case evaluation only and does not create an attorney‑client relationship until a signed engagement agreement is in place.
1) Party & Contact Information
Company Name*
Entity Type*

IndividualLLCCorporationFinancial InstitutionGovernment AgencyOther
Other Entity Type (if selected)
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Website (if any)
Primary Contact Person*

First NameLast Name
Title/Role*
Phone (call/text)*
Please enter a valid phone number.
Email*
example@example.com
Preferred Communication Method*

CallTextEmail
Upload/Provide: Proof of identity or business registration/authority docs

Cancelof
2) Basis of Claim
What is the nature of your interest in the funds?*
If Other, please specify
Amount claimed (if known)
Date interest/lien arose
Court/recording reference (book/page, case number, docket, UCC filing, etc.)
Upload/Provide: Supporting evidence (liens, judgment, court order, etc.)

Cancelof
3) Property & Sale Information
Property Address (foreclosed/tax sold)*
County & Parcel/Tax ID (if known)
Date of Sale (if known)
Type of Sale*

Mortgage foreclosureHOA/COA lien saleTax saleOther
If Other, please specify
Upload/Provide: Notice of sale, foreclosure deed, etc.

Cancelof
4) Competing Interests
Are you aware of other liens, mortgages, or claims that may also attach to the funds?*

YesNoUnsure
If yes, identify:
Has the homeowner or any heir/estate filed a claim for these funds?*

YesNoUnsure
Upload/Provide: Notices of competing claims or court communications

Cancelof
5) Prior Actions
Have you or your entity previously attempted to collect these funds?*

YesNo
Describe actions taken
Have you filed any pleadings or claims in court regarding these funds?*

YesNo
Provide case # and court
Upload/Provide: Pleadings, motions, correspondence

Cancelof
6) Fees
Do you understand that attorney’s fees and court costs may be deducted from any recovery?*

YesNo
Do you agree that unless otherwise agreed in writing, E. Albert Law, LLC’s fees will be deducted from your portion of the claim proceeds?*

YesNo
7) Compliance & Verification
Please confirm each statement:*

I affirm that my claim is valid and supported by attached documents.I have provided complete and accurate information to the best of my knowledge.I understand that submission of this form does not guarantee case acceptance.I acknowledge that only a signed engagement agreement with E. Albert Law, LLC creates an attorney‑client relationship.I authorize the firm to verify liens, judgments, and court records related to my claim.
Authorized Representative Initials*
Date*
Should be Empty:

Excess Funds Claim – Interested Party Intake Questionnaire

1) Party & Contact Information

2) Basis of Claim

3) Property & Sale Information

4) Competing Interests

5) Prior Actions

6) Fees

7) Compliance & Verification