Ouf-8 Notice Of Unclaimed Funds - Ohio Department Of Commerce printable pdf download

Ouf-8 Notice Of Unclaimed Funds - Ohio Department Of Commerce

OUF-8 NOTICE OF UNCLAIMED FUNDS

I. Owner Information

Date

Address - No. & Street

City

State

Zip Code

According to our records, you appear to be the owner of funds or have an interest in the monies, rights to monies

or intangible property represented by the item listed below. No transaction or other activity has been noted for a

significant period of time. If you have an interest in these funds and wish to prevent such funds from being reported

as Unclaimed Funds to the Director of Commerce, State of Ohio, pursuant to Chapter 169 of the Ohio Revised

Code, please so indicate by signing below and returning this notice. A return envelope is enclosed for your conve-

nience.

If a response is not received within 30 days after the mailing of this notice, these funds will be reported as

unclaimed funds and transferred to the Ohio Director of Commerce, to whom all further claims must be

directed. This notice is pursuant to O.R.C. 169.03(D). After the funds are transferred to the State, a 5%

administrative fee is assessed (O.R.C. 169.08(D)) for the recovery of these funds, regardless of amount.

II. Account Information

Nature of Funds

Amount

Account No.

Other Identifying No.

Certificate No.

Type of Owner

III. Policy Information (Life Insurance Companies Only)

Policy No.

Issued To

Insured, Annuitant and/or Beneficiary

Policy Amount

Owner of Funds Other Than Insurance Proceeds