Unclaimed Property Claim Form - Mississippi Treasury Department (Page 2 of 2) in pdf

Unclaimed Property Claim Form - Mississippi Treasury Department Page 2

UNCLAIMED PROPERTY CHECKLIST

REQUIRED DOCUMENTATION

Telephone 601-359-3534

Individual claiming



If you are an

property, you must provide:

____ Photo ID: Copy of a driver’s license, passport, military ID card or Official Identification Card.

____ Social Security Number(s): Your SSN and the account owner’s SSN if you are not the owner.

____ Documentation of owner address as listed on Website or Letter:

Examples include old cancelled checks, old utility bill, school records, old bank statement,.

____ Documentation of owner's name change if different name appears on the request form:

Examples include a copy of a marriage license, divorce papers, or other legal documentation

____ Notarized Signature of individual(s) claiming property.

not

also



If you are

the reported owner, you must

provide:

AND

_____ If owner is deceased: A copy of the owner’s death certificate

a copy of filed will or obituary.

_____ If the owner is a minor: A copy of the birth certificate.

business



If you are claiming a property of your

, you must provide:

_____ Photo ID of corporate officer/owner submitting claim:

Examples include a copy of business picture ID, a driver’s license, or military ID card,

_____ Employer Identification Number: The EIN of your business or organization.

_____ Documentation showing your position and authority to make the claim:

Examples include a business card or authorization letter on company letterhead.

____ Documentation of owner address as listed on Website or Letter:

Examples include old cancelled checks, old utility bill, business records, or old bank statement.

_____ Notarized signature of corporate officer/owner claiming property.

Please note: We may require additional documentation to process your claim.

Lynn Fitch

Tony Geiger, Director

State Treasurer

Unclaimed Property Division

Unclaimed Property Claim Form - Mississippi Treasury Department Page 2