Form 600c - Claim For Unclaimed Property - Business Claim Page 2
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2NOTE: Complete portion below ONLY if there are additional owners/claimants for this property.
6B. Claimant’s Name
Last Name
i F
t s r
i n I
l a i t
Social Security Number
Telephone Number
7B. Signature:
Date:
Subscribed and Affi rmed before me by:
Affi x Seal Here
o N
a t
y r
S
g i
a n
u t
e r
a D
e t
Notary in and for the State of
My Commission Expires
6C. Claimant’s Name
Last Name
i F
t s r
i n I
l a i t
Social Security Number
Telephone Number
7C. Signature:
Date:
Subscribed and Affi rmed before me by:
Affi x Seal Here
o N
a t
y r
S
g i
a n
u t
e r
a D
e t
Notary in and for the State of
My Commission Expires
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Parent category: Financial