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County of Shasta LORI J. SCOTT Treasurer Collector 1450 Court Street, Room 227, Redding, CA 96001 Telephone: (530) 2255511CLAIM FOR EXCESS PROCEEDS I hereby certify that I am a party of interest in

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Individuals who incurred eligible expenses and want to claim them for the year 2019.

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Claim formwebsitedocx is a document used to file a claim for a specific purpose.

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Individuals or entities who meet the criteria for filing a claim as outlined in the form instructions are required to file claim formwebsitedocx.

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Claim formwebsitedocx typically requires information such as personal details, details of the claim, supporting documentation, etc.

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