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SI, EISS VAN ATTORNEYS AT LAW One Alliance Center, 4th Floor 3500 Lenox Rd Atlanta, Georgia 30326 Telephone: (404) 926-4500 Fax: (404) 926-4600 www.weissman.law JOSHUA B. ADAMS Telephone: (404) 926-4615 Email: [EMAIL REDACTED] April 14, 2021 Re: Excess Funds Arising from Non-Judicial 'Fax Sales To Whom it May Concern, Weissman, P.C. has been retained by Jeannette Anderson, Tax Commissioner of Washington County, to assist in managing the excess funds arising from non-judicial tax sales. As such, this firm will be evaluating claims for excess funds, advising Commissioner Anderson on disbursement and/or interpleader actions of excess funds, and responding to Open Records Requests and claims for excess funds. If you wish to make a claim, please complete the attached claim form, and submit it directly to my office. If you should have any questions concerning the process, please feel free to contact my office at (404) 926-4615. Sincerely, Joshua B. Adams Attorney ---PAGE BREAK--- OFFICIAL CLAIM FOR EXCESS FUNDS ARISING FROM NON-JUDICIAL TAX SALE Address of Property Sold Tax Sale Date Claim Amount Parcel Number Claim Date I, the claimant as entered hereon and below, (hereinafter Claimant) do hereby claim the excess funds arising from the above referenced tax sale of the above referenced property (hereinafter Excess Funds) as stated herein and do hereby swear and affirm that I have the legal right to claim said funds. The basis for my claim on the Excess Funds is as follows, and I have attached documentation in support of the same: (example: owner before sale, estate representative, lien holder. etc.) Inconsideration of the disbursement of the above claim for Excess Funds, I do hereby release and forever discharge the past, present and future: Weissman, P.C., employees of Weissman, P.C., Washington County, Washington County Tax Commissioner, the Board of Commissioners, employees and agents of the Washington County Tax Commissioner and the Board of Commissioners, to include but not limited to any contractors or vendors of the Washington County Tax Commissioner, the Washington County Sheriff and all of the Sheriff's employees, including Ex-Officio Sheriffs, all Washington County Officers, Officials and employees, their agents, representatives, successors, and assigns (herein after "County"), from any and all claims, demands, obligations, actions, causes of actions, rights, damages, costs, attorney's fees, expenses and compensation of any nature whatsoever, which may arise from the distribution of the Excess Funds and the associated non- judicial tax sale referenced above. I further agree to indemnif' and hold harmless Weissman, P.C. and the County from any and all claims, demands, losses, causes of action, damage, lawsuits, and judgments, including attorney's fees and costs, whether in law, equity or otherwise, of whatever description, arising out of or relating to the distribution of the Excess Funds to the Claimant. I further certif' I am, or I am legally authorized to sign on behalf of, Claimant. So claimed, authorized, and released as of the Claim Date as specified above. Claimant printed name Witness printed name Claimant signature Witncs signature Claimant street address Witness Street address t:ity, State. Lip Phone number City, State, Zip Phone mumber Sworn to and subscribed before me this This document must be signed, witnessed, and day of , 20. notarized. Claims from third parties are not accepted unless same is a duly authorized licensed attorney for Claimant., Excess funds will only be distributed to the Notary Public rightful owner(s), not to third parties. All claims based on liens require a payoff statement. Submission of a My Commission Expires: claim does not preclude the filing of an interpleader action when deemed necessary at the Tax Commissioner's sole discretion. If such an action is deemed necessary, the claimant will be named as a respondent in the action and must make a claim with the Superior Court.