Virginia Unclaimed Property Inquiry Form - Department Of The Treasury printable pdf download

Virginia Unclaimed Property Inquiry Form - Department Of The Treasury

Virginia Unclaimed Property Inquiry Form

Please be sure to include all requested information. During this period of high

volume, response time may be 6 to 8 weeks from date of receipt of this form.

TO AVOID DUPLICATION, PLEASE RESPOND ONLY ONCE by fax or by

mail.

PLEASE COMPLETE THE REQUESTED INFORMATION:

? ________

ADVERTISED ACCOUNT #______________

IS THIS PERSON DECEASED

NAME ______________________________________SOCIAL SECURITY #_______-____-_______________

SPOUSE'S NAME _____________________________ SOCIAL SECURITY # _______-____-_____________

CURRENT ADDRESS ______________________________________________________________________

CITY ___________________________________________STATE_____ ZIP CODE: ___________________

HOME PHONE# (_____)–_______________________ DAYTIME PHONE # (_____)__________________

E-MAIL ADDRESS _____________________________________________________

PREVIOUS ADDRESSES (Including city, state and zip code):

________________________________________________________________________________________

IF YOU ARE RESPONDING FOR SOMEONE ELSE, PLEASE COMPLETE THE FOLLOWING:

YOUR NAME ________________________________ DAYTIME TELEPHONE #(_____)_____________

ADDRESS ______________________________________________________________________________

CITY ________________________________________STATE:______ ZIP CODE: __________________

RELATIONSHIP TO INQUIRY NAME-______________________________________________________

Property becomes unclaimed when there is no activity by the owner for a time period specified in the Code of Virginia. This property

may include funds from dormant checking and savings accounts, unpaid wages and commissions, stocks, mutual funds, certificates,

contents from safe deposit boxes, cash dividends, credit balances, money orders, utility deposits, refunds and other types of

property. Real Property (land and buildings) is not included. Businesses are required to make attempts to locate owners; however,

if the business cannot locate the owner, it is required to report the unclaimed property to the Commonwealth. Thereafter, owners

contact this Division to claim their property.

THERE IS NO TIME LIMIT PLACED ON CLAIMING YOUR PROPERTY AND THERE IS NO FEE

Send the completed form to: Department of the Treasury, Division of Unclaimed

Property, PO Box 2478, Richmond, Virginia 23218. Fax #: (804) 692-0576

Rev. 6/2005

Virginia Unclaimed Property Inquiry Form - Department Of The Treasury