Olmsted County, MN · Olmsted County

No notary required

Statement of Claim for Surplus Proceeds from Tax-Forfeited Land Sale

Former property owners, lienholders, and others with an interest in tax-forfeited land can use this form to claim surplus proceeds from its sale.

At a glance

Issued by
City of Olmsted County · Olmsted County, Olmsted County, Minnesota
Notarization
Not required: file this form without a notary.
Official source
olmstedcounty.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This form lets a former owner, lienholder, or other interested party claim surplus proceeds from the sale of tax-forfeited land. It asks for the parcel and claimant details, the basis of the claim, and the amount sought. Claimants should include supporting ownership, lien, or other-interest documentation when available or applicable, and declare that the information is correct and complete.

Who needs it

Former owners, parties with a lien interest, or others claiming an interest in tax-forfeited property can use this form to claim surplus proceeds.

How to submit it

Return the claim form and any documentation to Olmsted County PRL, Attn: Revenue Department, 151 4th St SE, Rochester, MN 55904.

About notarization

This document is signed and dated without a notary; include ownership, lien, or other-interest documentation when applicable.

How to submit this form

  1. 1

    Download the Form

    Download the Statement of Claim for Surplus Proceeds from Tax-Forfeited Land Sale.

  2. 2

    Complete the Claim

    Enter the property and claimant information, explain your interest, and state the amount claimed.

  3. 3

    Gather Supporting Documents

    Include documentation of ownership, lien interest, or another interest in the property, as applicable.

  4. 4

    Sign and Date

    Sign and date the declaration that the information and documentation are correct and complete to the best of your knowledge and belief.

  5. 5

    Return the Form

    Send the form and any documentation to Olmsted County PRL, Attn: Revenue Department, 151 4th St SE, Rochester, MN 55904.

Frequently asked questions

Do I need a notary for the surplus proceeds claim?
No. The form has a claimant signature and date line, but no notary block. Include ownership, lien, or other-interest documentation when applicable.
How do I submit the surplus proceeds claim?
Return the completed claim form and any documentation to Olmsted County PRL, Attn: Revenue Department, 151 4th St SE, Rochester, MN 55904.
What information does the claim form request?
It asks for property and claimant information, the basis of the claim, and the amount of surplus proceeds claimed. The claimant also signs and dates a declaration.
What supporting documents should I include?
Include documentation for your interest in the property. The form lists a deed or evidence of prior ownership, lien information and proof of the current amount due, or documentation describing another interest.

Need something notarized?

This Statement of Claim for Surplus Proceeds from Tax-Forfeited Land Sale doesn’t need a notary, but if you have another Olmsted County form that does, a commissioned online notary can help.