FOR CLERK’S USE ONLY (1) Name of Person Filing: _____________________________________ Mailing Address: _____________________________________ City, State, Zip Code: _____________________________________ Day Phone Number: _____________________________________ Evening Phone Number: _____________________________________ ATLAS Number (if applicable):_____________________________________ Attorney Bar Number (if applicable):________________________________ Self (Without a Lawyer) OR Representing Attorney for Plaintiff / Petitioner OR Defendant / Respondent SUPERIOR COURT OF ARIZONA MOHAVE COUNTY (2) _____________________________________ Plaintiff (Trustee from Original Complaint) (2) Case Number _____________________________ (3) MOHAVE COUNTY TREASURER Defendant A.R.S. § 33-812 APPLICATION FOR RELEASE OF EXCESS PROCEEDS OF SALE BY OWNER (4) Applicant(s)_________________________________________________________________________ (names) hereby request(s) release of the excess proceeds on deposit with the Mohave County Treasurer under the above-captioned case number pursuant to A.R.S. § 33-812. (5) Applicant(s) is/are the former owner(s) of the property identified as: _______________________________________________________________________________and (address and/or legal description of the property) sold at Trustee’s sale and, as such, is/are entitled to submit this Application for Release of Excess Proceeds. A copy of the deed to this property is attached. (6) Applicant(s) has/have reviewed the Trustee’s Sale Guarantee and affirm to the court there are not liens superior to the interest of the Applicant(s). (7) Applicant(s) request(s) that the court issue an Order directing the Mohave County Treasurer to release to the above-named applicant(s) excess proceeds on deposit in the amount of $__________________, after presentation to the Treasurer of a certified copy of the signed Order, (or a certified copy of a “Minute Entry” signed by the Judge), a U.S. Treasury Form W-9, and the Treasurer’s fee. (8) Today’s Date: __________________ Applicant’s Signature: ________________________________ Today’s Date: __________________ Applicant’s Signature: ________________________________ are OR Attachment – Deed/Deed of Trust Attachment – Copy of “Interested Parties” list from original complaint against Treasurer. 8/20/2010 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com