Address—Current
Provide proof of the address you want your check (or claim form) mailed
to, using documents such as driver's license, bills, etc.
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We need to know we are making payment to a valid address.
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COPY of: driver's license; passport; state-issued ID;
utility bills; old pieces of mail; tax forms; credit reports; birth
certificates; death certificates; old bank statements; IRS stickers; etc
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Address—Custodian
Provide proof of Custodian's current street address & mailing address (if the two are different).
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We need the contact information of the person who has custody of the
minor child so that we can confirm identity and prove that he/she is a
legal custodian or guardian.
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COPY of: driver's license; passport; state-issued ID; ETC; utility bills; old pieces of mail; tax forms; credit reports; birth
certificates; death certificates; old bank statements; IRS stickers;
etc
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Address—Original
Provide proof of address of owner(s) as listed in Section A of claim form.
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We need to verify your information in order to confirm your identity.
Even though you may not currently live at this address this will help
document that the property you are trying to claim does belong to you
and not someone with a similar name.
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COPY of: driver's license; passport; state-issued ID; ETC; utility bills; old pieces of mail; tax forms; credit reports; birth
certificates; death certificates; old bank statements; IRS stickers;
etc
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Address or Business
Provide proof of address of owner(s) OR of doing business with the
company who remitted funds, as listed in Section A of claim form.
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We need to verify your connection to the original address in section A
of the claim form OR that you were/are connected to the company who
reported the funds.
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COPY of: bills; correspondence from the company reporting funds; bank
statements; mail with post mark; W-2 forms; check stubs; official
letters; insurance coverage; etc
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Affidavit
Please complete the enclosed affidavit AND have signature notarized.
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This is required in order to make payment to the claimant.
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Completed, signed, AND notarized affidavit that came enclosed with your claim form
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Birth Certificate—Claimant
Provide copy of claimant's long form birth certificate WITH parents' names displayed.
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We need to verify that the claimant is connected to a parent who may have been at the original address.
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COPY of: long form birth certificate with parents' names included. To get a birth certificate, call (615) 741-1763.
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Birth Certificate—Heir
Provide copy of heir's long form birth certificate WITH parents' names displayed.
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We need to verify the heir's relationship with his/her parents; we need
to confirm that the child(ren) claiming is actually the offspring of the
deceased person.
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COPY of: long form birth certificate with parents' names included. To get a birth certificate, call (615) 741-1763.
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Birth Certificate—Minor
Provide copy of minor child's long form birth certificate WITH parents' names displayed.
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We need to verify the minor child's relationship with his/her parents
and confirm that the child is still a minor based on birthdate.
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COPY of: long form birth certificate with parents' names included. To get a birth certificate, call (615) 741-1763.
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Business
Proof of doing business with company who remitted funds, as listed in
Section A of claim form (provide account statement or invoice).
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We need to verify the previous or existing relationship with the company who remitted funds.
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Account statement; invoice; W-2 forms; IRA; business card or letterhead
with claimants name and company's valid mailing address; etc...
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Business Authorization
Provide copy of the claimant's authority to act on behalf of the company that is listed on the claim form.
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We need to prove that the claimant has proper permission to act on behalf of a company.
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SIGNED cover letter on company letterhead; business card with current mailing address; employee badge; etc...
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Business Card
Provide claimant's business card.
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We need to confirm the claimant's role and identity within the business.
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Business card
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Business Ownership Documentation
Provide copy of legal business ownership document (such as a purchase agreement, articles of incorporation or scheduled K of IRS tax return).
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We need to prove the legal ownership of a business.
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COPY of: purchase agreement; scheduled K of IRS tax return ownership;
invoices; mailing labels; business license registered with the secretary
of state; etc
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Certificate of Citizenship
Provide copy of certificate of citizenship.
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We need to verify citizenship for certain security claims when the transfer agent requests proof.
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COPY of: certificate of citizenship
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Claim Form—Co-Claimant
Co-claimant must sign the claim form.
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We need the additional owner(s) to complete and sign the claim form and
ensure that the information he/she provided on the form is correct and
valid.
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Upload the completed, signed claim form to www.ClaimItTn.gov or mail it.
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Claim Form—Complete and Sign
Upload the completed, signed claim form to www.ClaimItTn.gov or mail it.
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We need the claimant to complete and sign the claim form and ensure that
the information he/she provided on the form is correct and valid.
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Upload the completed, signed claim form to www.ClaimItTn.gov or mail it.
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Complex Claims—Additional Documents May Be Needed
Complex claims may require more documents upon review. This is a free service.
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The claim may be more complex than usual and require more information upon receipt of the claim.
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Additional evidence will be requested on a case-by-case basis from the claims examiners in our office
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Court Order
Provide copy of court order.
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We need to uphold court decisions and verify the contents of the court order.
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COPY of: court order
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Customer Reimbursement Check
Provide copy of cancelled Customer Reimbursement Check (front & back).
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We need to confirm that the original owner has been paid prior to us
reimbursing the holder. The customer reimbursement check verifies that
the funds are no longer unclaimed.
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COPY of: cancelled customer reimbursement check (front & back)
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Date of Birth—Claimant
Claimant's date of birth required for mutual fund transfers: MM/DD/YY
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We need to verify the identity of the claimant, required in order to complete transfers between mutual funds.
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COPY of: long form birth certificate
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Death Certificate—Co-Owners
Provide copy of death certificate of Co-Owner.
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We need to verify the official death of the co-owner.
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COPY of: death certificate. To get a death certificate, call (615) 741-1763.
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Death Certificate—Heir
Provide copy of death certificate of Heir.
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We need to verify the official death of the heir.
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COPY of: death certificate. To get a death certificate, call (615) 741-1763.
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Death Certificate—Original Owner
Provide copy of death certificate of owner(s) listed in Section A of claim form.
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We need to verify the death of the original owner.
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COPY of: death certificate. To get a death certificate, call (615) 741-1763.
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Dissolution Documentation
Provide legal documentation of company dissolution.
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We need to prove that the company no longer exists.
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Documentation of company dissolution, Verification from Secretary of State's Office
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Employment
Provide proof of employment from company who remitted funds in Section A (using copy of W-2 form, pay stub, etc.).
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We need to prove that you actually worked for the company who remitted funds so that you can receive your due reimbursement.
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COPY of: W-2 form; pay stub
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Estate—Re-Open
Please open (or reopen) the Estate and provide a certified copy of the Judge's order to reopen.
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We need proof of the Judge's orders to make sure that the (re)opening of the estate is legal.
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Certified copy of the Judge's order to reopen
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FEIN—Business
Provide proof of Federal Employer Identification Number (using copy of W-2 or letter from the IRS).
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Business properties are paid under business tax identification numbers.
Claimants must show proof that these federal tax ID numbers are valid.
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COPY of: tax return; W-2 form; Employment tax coupons; letter from the
IRS; etc... To get an FEIN # from the IRS, call: 1-800-829-4933
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FEIN—Estate
Provide proof of Federal Employer Identification Number for the Estate AND a copy of the assigned IRS number.
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We need to verify the federal tax ID number assigned to the estate.
These numbers are assigned by the IRS at the time an estate is probated
and should be included with the estate papers.
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COPY of: proof of FEIN AND assigned IRS number (tax return; W-2 form;
Employment tax coupons; letter from the IRS; etc) You may contact IRS
at 1-800-829-4933 for assistance.
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FEIN—Trust
Please provide a copy of the trust tax ID (FEIN) number letter from the IRS.
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We need to verify the federal tax ID number assigned to the trust in order to pay funds to a Trust.
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COPY of: proof of FEIN, such as a tax return; W-2 form; OR letter from
the IRS. To get an FEIN # from the IRS, call: 1-800-829-4933
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Holder Reimbursement Claim Form
Provide holder reimbursement claim form, located: Holder Reimbursement Claim Form.
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This form is required in order to reimburse the company who remitted funds.
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Holder reimbursement request claim form (located on our website)
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ID Business Claimant
Provide COPY of personal ID (such as driver's license) of person signing claim on behalf of business or trust.
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We need to be able to properly identify the person signing a claim on behalf of a business or trust.
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COPY of: driver's license; passport; company badge; state-issued ID; etc.
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ID—Claimant
Provide COPY of claimant's ID (such as driver's license).
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We need to be able to properly identify the claimant.
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COPY of: driver's license; passport; company badge; state-issued ID; etc.
Mail your claim form with the original signature. Do not mail a copied claim form.
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ID—Co-Claimant
Provide COPY of co-claimant's ID (such as a driver's license).
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We need to be able to properly identify the co-claimant.
We need to know we are making payment to a valid address.
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COPY of: driver's license; passport; company badge; state-issued ID; etc.
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ID—Custodian
Provide COPY of the custodian's ID (such as a driver's license).
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We need to be able to properly identify the person who has custody of
the minor child so that we can prove he/she is a legal custodian or
guardian.
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COPY of: driver's license; passport; company badge; state-issued ID; etc.
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ID—Executor/trix
Provide COPY of the executor's ID (such as a driver's license).
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We need to be able to properly identify the executor/trix.
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COPY of: driver's license; passport; company badge; state-issued ID; etc.
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ID—Original Owner
Provide COPY of ID (such as a driver's license) of owner(s) listed in Section A of claim form.
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We need to be able to properly identify the original owner.
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COPY of: driver's license; passport; company badge; state-issued ID; etc.
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ID—Power of Attorney
Provide COPY of ID (such as driver's license) for the individual with Power of Attorney OR of the conservatorship.
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We need to be able to properly identify a person with Power of Attorney.
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COPY of: driver's license; passport; company badge; state-issued ID; etc.
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ID—Trustee
Provide COPY of trustee's ID (such as a driver's license).
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We need to be able to properly identify the trustee.
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COPY of: driver's license; passport; company badge; state-issued ID; etc.
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Indemnity Agreement
Please complete the enclosed Indemnity Agreement and have signature notarized.
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We need to confirm the validity of the Indemnity Agreement and have it
formally recognized by an official notary witness. It is a legal
document to hold the State harmless from repercussions due to fraud.
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NOTARIZED & SIGNED: Indemnity Agreement
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Insurance Policy
Please provide copy of the Insurance Policy WITH the policy number.
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We need a copy of the Insurance Policy so that we may adhere to its
guidelines and prove its validity. It is also used to verify the
beneficiary and doing business.
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COPY of: Insurance Policy WITH policy number included
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Letter of Conservatorship
Provide copy of the Letter of Conservatorship for owner(s) listed in Section A of claim form.
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We need to verify that the person making the claim has authority to claim on behalf of the original owner.
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Court order OR Letter of Conservatorship. NOTE: Letter of Conservatorship cannot be used if original owner is deceased.
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Letterhead
Provide signed cover letter on company letterhead.
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We need to verify the legitimacy of the company and have their official information so that we can contact them if needed.
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SIGNED cover letter on company letterhead
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Letters of Administration
Provide letters of administration appointing a personal representative to Estate.
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We need to verify the appropriate representative of the Estate. Letters
of administration are assigned by the court and appoint a personal
representative over an Estate when there is no will. They are needed to
verify that the funds can be paid to an estate in care of an
administrator.
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Certified letters of administration for estate of owner--provided by the Court
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Letters Testamentary
Provide certified letters of testamentary for the Estate of the owner, as listed in Section A of claim form.
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Letters Testamentary are issued by the court (after a will has been
probated) for the executor(trix) to administer the Estate of the owner
listed in Section A of the claim form. We need to verify proof that the
person making the claim has authority to act on behalf of the estate.
The letters of testamentary determines that the funds can be paid to an
estate and who the official executor(trix) is. It is important that the
estate is still open.
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Certified letters testamentary for estate of owner--provided by the Court
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Locator Contract
Original locator contract must be provided or no fee may be charged. Our services are free to all.
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If you signed a contract to pay someone else in helping you locate or
file your claim we need a copy of that contract to ensure they are not
charging more than the law allows.
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ORIGINAL locator contract
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Merger/Acquisition Proof
Provide official proof of Company merger/acquisition (such as registered charter, etc.).
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We need to verify a company's merger or acquisition to accommodate any changes in information and prove its legitimacy.
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Corporate annual report; registered charter
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Multiple Owners
If this account has multiple owners, each owner may be required to file a claim.
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Depending on the nature of the claim, we may need each owner to file
his/her own claim to ensure that all of the proper information is
received by our office and that the claim process can correspond to each
individual's circumstances.
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N/A
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Name Change—Company
Provide official proof of the company's name change (such as official state documents, etc.).
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We need to prove the legality of the name change of a company and use
the information when searching for records from before & after the
differing names.
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Purchase contract; official state documents
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Name Change—Individual
Provide proof of name change if applicable (such as court documents, etc.).
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We need to prove the legality of the name change of an individual and
use the information when searching for records from before & after
the differing names.
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Marriage license; court documents
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Obituary—Heir to the Original Owner
Provide copy of obituary of the Heir of the owner(s) listed in Section A
of claim form; use copy that identifies the heir(s) with list of the
survivors of the deceased person.
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We need to verify the heir(s) of the heir(s) to the original owner.
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COPY of: identifying obituary--a funeral program can be sent as long as the deceased heirs are listed
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Obituary—Original Owner
Provide copy of obituary of owner(s) listed in Section A of claim form;
use copy that identifies the heir(s) with list of the survivors of the
deceased person.
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We need to verify the primary heir(s) of the original owner. We must
confirm that the heir(s) are entitled to claim the owner(s)' property
when there is no will.
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COPY of: identifying obituary--a funeral program can be sent as long as
the deceased heirs are listed. Joint ownership may require obits for
both persons.
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Original Instrument
Provide an original check, bond, stock certificate, etc.
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We need to validate the ownership of the check, bond, stock certificate, etc.
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ORIGINAL: check; bond; stock certificate
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Original Statement from Business
Provide original statement from business with owner name AND account number (NO copies please).
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We need to verify the previous or existing relationship with the company who remitted funds.
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ORIGINAL: statement from business with owner name AND account number (no copies)
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Please Call Me about Your Claim
Please CALL to discuss your claim at 866-370-9429 from 8:30 AM - 4:00 PM CST.
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We need more information about the circumstances or assistance
understanding the complexities of the claim. We would like to discuss
the claim over the phone.
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N/A
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Power of Attorney
Provide proof of claimant's authorization to act on behalf of owner(s)
listed in Section A of claim form (such as Power of Attorney, etc.).
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We need to verify that the person making the claim has authority to claim on behalf of the original owner.
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Court order OR Power of Attorney. NOTE: Power of Attorney cannot be used if original owner is deceased.
COPY of: death certificate. To get a death certificate, call (615) 741-1763.
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Purchase Agreement of Bill of Sale
Provide a copy of contract, purchase agreement, or bill of sale.
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We need to prove the legality of the purchase or sale contract.
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COPY of: contract; purchase agreement; bill of sale
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Reimbursement Request Letter
Please request reimbursement on company letterhead with an explanation of reason for the request.
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We need an official request so that we can formally provide reimbursement.
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Reimbursement request letter on official company letterhead (with an explanation of reason for the request)
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Relationship to Original Owner
Please document your relationship to the owner(s) listed
in Section A of the claim form (using a marriage license, birth
certificate, OR will).
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We need to use official documents to verify the validity of your relation to the original owner.
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COPY of: marriage license; birth certificate; will
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Release-of-Interest Letter
Please complete the enclosed Release-of-Interest Letter, have the
signature notarized and include a copy of personal ID of the individual
releasing the property.
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We need the Release of Interest letter signed in order for us to know
which party listed on the property is the correct owner to be paid.
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Notarized Release-of-Interest Letter AND personal identification from the other joint owner(s)
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SSN—Claimant
Provide COPY of claimant's social security number (copy of social security card).
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We need to use the social security number to verify the identity of the claimant and/or report to the IRS.
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COPY of: social security card, pay stub, tax records
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SSN—Co-Claimant
Provide COPY of each co-claimant's social security number (copy of social security cards).
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We need to use the social security number to verify the identity of the co-claimant and/or report to the IRS.
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COPY of: social security card, pay stub, tax records
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SSN—Custodian
Please provide COPY of the custodian's Social Security Number (copy of social security card).
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We need to confirm the identity of the person who has custody of the
minor child so that we can prove he/she is a legal custodian or
guardian.
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COPY of: social security card, pay stub, tax records
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SSN—Minor
Provide COPY of the minor child's social security number (copy of social security card).
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We need to use the social security number to verify the identity of the minor child and/or report to the IRS.
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COPY of: social security card, pay stub, tax records
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SSN—Original Owner
Provide COPY of the of owner(s) listed in Section A of the claim form social security number (copy of social security card).
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We need to use the social security number to verify the identity of the original owner and/or report to the IRS.
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COPY of: social security card, pay stub, tax records NOTE: The SSN for a
deceased original owner will be listed on the death certificate.
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Trust
If this is a trust, please send an official copy of the trust document.
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We need to verify the legality of the trust.
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COPY of: official trust document
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UTMA
This is a Uniform Transfer to Minor's Act account. If the minor child is 21 years of age or older they will have to submit the claim.
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We need to verify that the beneficiary is not a minor child and that
he/she has the right to claim with proper documentation of ownership.
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COPY of birth certificate or other documentation that verifys the age of the minor.
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Will—Indicate Existance
Indicate existence of a will. Circle one: There _ WAS _ or _ WAS NOT _ a will.
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We need to confirm the existence of a will so we can proceed with the
information that is contained within the will, or secure additional
documents if there is a death without a will.
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You must circle a choice on the claim form to indicate whether a will exists or not.
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Will—Probated
Provide probated will of owner(s) listed in section A (must have stamp or seal of the court on the document itself).
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We need to verify the will and prove that it is official so we may adhere to its guidelines.
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Probated will (WITH stamp or seal of the court on the document itself)
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