If you are the owner of unclaimed funds currently in the possession of
the Walworth County Treasurer you must submit a notarized affidavit swearing
to ownership of the unclaimed funds.
To access a copy of
the Affidavit of Ownership and Indemnity Agreement,
Please fill in the
Check No. and Amount as stated in the published notification, as well as
your name, address and phone number.
The Affidavit of
Ownership and Indemnity Agreement must be signed by the claimant/owner of
the funds and notarized by a notary public.
The notary public must witness the signing of the affidavit.
Notary Publics are available at most banks.
The notarized form must be delivered or mailed to:
Walworth County Treasurer
100 W. Walworth, Room 103
PO Box 1001
Elkhorn, WI 53121
A copy of the claimant’s driver’s license or
other picture I.D. must be included for identification.
If you are claiming funds on behalf of a business, a copy of your business card must
also be included.
Once the affidavit and identification is received, it will be approximately
30 days before a check is received. The check will be sent to the
address provided on the Affidavit of Ownership and Indemnity Agreement.
The check will be made payable to the same person or entity the original
check was payable to.