Name: Overage Recovery Pro
Address: Blacksburg, SC
Telephone: 1 (864) 492-1451

Overage Recovery Pro – Client Intake Form

Telephone: 1 (864) 492-1451

E-mail: support@lots-of.info

Address: 6650 Rivers Ave STE 100, North Charleston, SC 29406

Please Fill Completly for Accuracy of Recovering Funds

First Name & Last Name*

This field is mandatory

Date Of Birth DD/MM/YYYY*

This field is mandatory

Phone Number 999-999-9999*

This field is mandatory

E-mail*

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The e-mail address is invalid

Current Mailing Address*

This field is mandatory

Current City, Current State, Current Zip*

This field is mandatory

Are You The Owner, Heir, Or Authorized Representative? Which One?*

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Street Address* That Is In Question (Foreclosure, Tax Sale, etc)*

This field is mandatory

City*, State*, Zip* *

This field is mandatory

Event Leading To Surplus Funds (Foreclosure, Tax Sale, Other)*

This field is mandatory

Date Of Auction, Sale, or Event - Approx Is OK DD/MM/YYYY*

This field is mandatory

Names of Co-Owners, other Heirs. List any known liens or disputes.*

This field is mandatory

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time. I certify that the information provided is accurate to the best of my knowledge. I authorize Overage Recovery Pro to research surplus funds related to the above property and to contact me regarding my claim. I have read and agree to the Privacy Policy and Legal Notice.*

* Indicates required fields. If there is something that you have no knowledge of put "N/A" in the field.

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