Unclaimed Money Form

RIVERSIDE COUNTY
TREASURER'S UNCLAIMED MONEY
(Pursuant to Government Code 50052)

UNCLAIMED MONEY FORM

Each of the undersigned claimants certifies, under penalty of perjury, that the claimant has read the claim and knows the contents thereof and that the claimant(s) is/are the owner(s) of the said claim and the person(s) entitled to receive the money set forth in the said claim.

Each claimant agrees to indemnify and hold harmless the County, it's officers and employees from any loss resulting from the payment of said claim.

CURRENT INFORMATION AND SIGNATURE MUST BE PROVIDED FOR EACH CLAIMANT OR THE CLAIM WILL BE RETURNED.

DEADLINE TO SUBMIT UNCLAIMED MONEY FORM IS: October 31, 2026

SEND UNCLAIMED MONEY FORM AND RELATED DOCUMENTATION TO:

COUNTY TREASURER
ATTN: FISCAL COMPLIANCE - UNCLAIMED MONEY
P.O. BOX 12005
RIVERSIDE, CA 92502-2205

Once your package is received with all the required documentation, it will be reviewed. Please do not inquire on the status of your claim unless it has been over 60 days from the date you mailed your package. Such calls will only delay disbursements. FAILURE TO PROVIDE THE REQUIRED DOCUMENTATION WILL RESULT IN THE CLAIM BEING DENIED FOR PAYMENT.

Thank you for your patience.

FIRST AND LAST NAME OR BUSINESS NAME:

CURRENT MAILING ADDRESS:
CITY, STATE/PROVINCE/ZIP/COUNTRY:
DAYTIME PHONE (WITH AREA CODE):
PROPERTY IDENTIFICATION NUMBER:	4425	AMOUNT:	$6,729.44
CLAIMANT'S OR AUTHORIZED AGENT'S SIGNATURE :
DATE :

Page 2: UNCLAIMED MONEY FORM

AS CLAIMANT(S), I/WE AM/ARE ENTITLED TO THE UNCLAIMED MONEY FOR THE FOLLOWING REASON(S): (Please provide detailed information on why the unclaimed money may belong to you. Refer to the filing instructions for additional information.)

I/We (have/have not) attached documentation to support my/our claim.

FAILURE TO PROVIDE THE REQUIRED DOCUMENTATION WILL RESULT IN THE CLAIM BEING DENIED FOR PAYMENT.

I/We understand that I/we must file my/our claim with the Riverside County Treasurer on or before the deadline date specified (postmark accepted) in the publication appearing in The Press Enterprise or the money in question will become the property of the County of Riverside. I/We also understand that should the Treasurer deny my/our claim, the law gives me/us the right to appeal. Should I/we wish to appeal, I/we must file a court complaint in Riverside County within 30 days of receipt of the Treasurer’s notice denying my/our claim.