Celina, OH · Mercer County
Affidavit Claiming Funds
This affidavit lets an owner or authorized representative ask the City of Celina to reissue a check for unclaimed funds held by the city.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to identify unclaimed funds held by the City of Celina and request a replacement check for an original check you have not cashed. The affidavit asks you to state your connection to the funds, identify their source and provide details about the original check. It also includes an agreement to indemnify the city against future claims to the funds.
Who needs it
An owner, authorized business representative, or representative of a decedent’s estate may use this form to request reissuance of unclaimed funds held by the City of Celina.
How to get this notarized
- 1
Download the Affidavit
Download the City of Celina Affidavit Claiming Funds.
- 2
Complete the Form
Print your name and address, identify the funds’ source, and provide the original check amount, number, and date.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary before signing the affidavit.
- 4
- 5
Submit to the City
Send the notarized affidavit to the City of Celina for its review and check-reissuance process.
Preview the form
The blank PDF straight from Celina. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I request a replacement check for unclaimed funds?
- Complete the affidavit with your details, the source of the funds, and the original check information. Sign it before a notary, then submit it to the City of Celina.
- Do I need to sign this affidavit in front of a notary?
- Yes. The form says the affidavit must be sworn to and subscribed in the notary’s presence, so wait to sign until your notary appointment.
- Can I sign the affidavit with a commissioned online notary?
- Ohio authorizes online notarization by its notaries under R.C. §§147.60–147.66. Ask the City of Celina how it accepts the completed affidavit; confirm with the city or village if unsure.
- Who can claim funds using this form?
- The form is for an owner of the unclaimed funds, an authorized representative of a business that owns them, or a representative of a decedent’s estate.