Unclaimed Property Form - Monterey County Sheriff'S Office

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UNCLAIMED PROPERTY
MONTEREY COUNTY, CALIFORNIA
SHERIFF’S
FORM
K e e p i n g t h e p e a c e s i n c e 1 8 5 0
1414 Natividad Road, Salinas CA 93906
(831) 755-3700
(Government Code Section 50050-50057 process being followed)
ESCHEATMENT #1: 12/2016
Feb-17
CLAIM PERIOD END DATE:
4/15/17
This form is to be used to claim funds listed as unclaimed by the Monterey County Sheriff's Office. Please fill out form
completely, attach the documents(s) required, and sign and date the form on the bottom. The completed form must be
received before the "claim period end date" shown above; incomplete forms will be returned to you and won’t be processed
until they are received complete. Late forms will NOT be processed.
MAIL the completed form and all documents to:
Monterey County Sheriff's Office, Unclaimed Property form
1410 Natividad Road
Salinas, CA 93906
Please allow 2-3 weeks after the date above for a check to be issued and mailed to the address you gave us.
SECTION A: YOUR PERSONAL INFORMATION
Name as shown on List:
___________________________________
Your current name:
___________________________________
If different, please fill out Section (D)
Date of Birth:
Social Security Number (if available):
Driver’s License Number (if available):
SECTION B: YOUR MAILING ADDRESS
Your check will be mailed to this address
Street Address and Number:
City, State and ZIP CODE
SECTION C: INFORMATION WE NEED TO PROCESS YOUR CLAIM
PLEASE ATTACH A PHOTOCOPY OF ONE OF THESE DOCUMENTS TO YOUR CLAIM
A. Copy of Driver’s License
E. Copy of Consular Identification Card
B. Copy of Military ID card with photo
F. Copy of Resident Visa
C. Copy of California ID card
D. Copy of Passport Front and Back page or Copy of Passport Card
SECTION D: FILL OUT ONLY IF NAMES IN SECTION A DO NOT MATCH
Why is your name different? : ____Marriage ____Divorce ___Legal Name change
Please attach a photocopy of ONE of the following:
Marriage Certificate if name change due to Marriage
Divorce Decree if name change due to Divorce
Court documents if name changed legally
SECTION E: PLEASE READ, THEN SIGN AND DATE
I declare under penalty of perjury, under the laws of the State of California, that all statement on this form are true and correct. I
understand that any false or dishonest statements may cause my claim to be denied.
Your Name/Signature
Date
Form # SO1030.01 Revised 03.06.2017

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