Forms & Affidavits
Mail-In Claim Form & Instructions
If you would like to file a claim for Unclaimed Property but you do not want to send your personal information over the secure internet connection.
Affidavit and Agreement Supporting Claim for a Deceased Person
RTF or PDF
If you are legally authorized to claim property belonging to a deceased person, such as the Personal Representative of their estate.
Affidavit and Agreement Supporting Claim by Authorized Representative for another Person
RTF or PDF
If you are legally authorized to claim property belonging to a living person, such as a Power of attorney.
Holders & Reports
Holder Report Form
The one-page holder report verification form that must accompany each report.
Extension and Exemption Request
If you are a holder and need more time to file your annual report, or would like an exemption from our electronic reporting requirement, please complete the Extension and Exemption Request.
Unclaimed Property Report of Owners
If you have received an exemption for reporting electronically you may use this form for your owner information.
Holder Reimbursement Request
If you are a holder claiming previously reported property, please complete the Holder Reimbursement Request.
Sample "Due Diligence" Letter
A holder must attempt to find the rightful owner of property before the property is remitted to the state.
Unclaimed Property Report Forms & Instructions
If you are a holder and need to file your annual report, please download the Holder Report Forms & Instructions.
Questions about these forms? Contact our office at:
Phone: (207) 624-7470