Replied
Standard Investigator Agreement
draftCALIFORNIA STATE CONTROLLER'S OFFICE — UNCLAIMED PROPERTY DIVISION STANDARD INVESTIGATOR AGREEMENT – ABANDONED PROPERTY This agreement is entered into by and between Elizabeth Villanueva, hereinafter referred to as "Claimant," and NICOLAS SANFORD, hereinafter referred to as "Investigator." I. Investigator, through their efforts, has located Claimant, who may be entitled to the assets in the possession of the State Controller of California, 10600 White Rock Road, Suite 141, Rancho Cordova, CA 95670 (Mailing: P.O. Box 942850-5873) OWNER'S NAME: Elizabeth Villanueva OWNER'S ADDRESS AS REPORTED TO THE STATE CONTROLLER'S OFFICE: 110 BERRY DR SPC 18, PACHECO, CA 94553 REPORTED BY: VILLANUEVA V CONCENTRA HEALTH SERVICES INC TYPE OF ACCOUNT: MS01: WAGES, PAYROLL, SALARIES AMOUNT: $514.17 SECURITIES: N/A PROPERTY ID: 1072176250 Claimant's Initials: ______ II. Investigator and Claimant do hereby agree that in consideration of Investigator's efforts in locating Claimant and assisting in the actual recovery of the above-described assets to which Claimant may be entitled, Claimant assigns to the Investigator a percentage not to exceed 10% of the net assets which Claimant in fact recovers. Claimant agrees that the investigator fee will be paid upon payment of the claim. Agreed Percentage: 10% Claimant's Initials: ______ Investigator's Initials: ______ III. If Investigator fails to disclose the nature and value of the property prior to the execution of this agreement, and Investigator and Claimant agree that if the existence and whereabouts of the above-described assets are known to the Claimant, and Claimant believes that said assets would have been recovered without the information and advice given by Investigator, then Claimant is under no obligation to Investigator. IV. Investigator and Claimant agree that in the event Claimant is not entitled to assets described above and such assets are not recovered, there is no obligation on either party to the other, all expenses being borne by Investigator. V. This agreement is valid for twelve (12) months from the date signed by Claimant. Claimant: Elizabeth Villanueva Date: ______________ Mailing Address: 110 BERRY DR SPC 18, PACHECO, CA 94553 Claimant's Phone: ______________ Claimant's Signature: ______________________________ Claimant's SSN or Tax Identification Number: ______________ Investigator: NICOLAS SANFORD Date: ______________ Mailing Address: 3020 E18th ST APT 14, OAKLAND, CA 94601 Investigator's Phone: +151****8381 Investigator's Signature: ______________________________ Investigator's SSN or Tax Identification Number: ______________
Sending requires DocuSeal (or marks for manual signature). Marking signed advances the lead to the Claim stage.