Required Documentation for Claim Processing

Required Documentation for Claim Processing. Claimants must complete and deliver to the Division claim forms and supporting documentation required by the Act and this regulation before the Division will approve a claim. A. The following documentation is required to be presented to the Division in order to validate a claim of ownership. 1. Completed, signed, and notarized claim form as prescribed by the Treasurer and sent by mail OR completed electronic form with electronic signature as prescribed by the Treasurer at www.treasury.ms.gov, including checked acknowledgement that the claimant agrees to submit the claim form and required supporting documentation by electronic means; 2. Copy of photo identification (examples include: driver’s license, passport, military identification card, and official identification card); 3. Copy of proof of residence during the year cited as the date of last transaction in the holder’s report (examples include: utility bill, school records, bank statement, and cancelled check); 4. Documentation of claimant’s name change if a different name appears on the claim form; 5. If the claimant and owner are not the same person, but both living: a. Copy of claimant’s social security card or birth certificate and owner’s social security card or birth certificate; b. Notarized copy of agreement establishing claimant as the legal representative of the owner; 6. If the owner is deceased: a. Copy of owner’s death certificate; b. Copy of filed will or obituary if no filed will exists; 7. If the claimant is a business: a. Copy of photo identification of the corporate officer or owner submitting the claim (examples include: business picture identification, driver’s license, passport, military identification card, and official identification card); b. Employer Identification Number (“EIN”); c. Documentation of claimant’s position and authority to make the claim (examples include: business card and executed authorization letter on company letterhead); b. Copy of proof of residence during the year cited as the date of last transaction in the holder’s report (examples include: utility bill, business records, bank statement, and cancelled check). B. The Division will consider all documents submitted in making a reasonable assessment of whether a valid claim of ownership exists. The Division may request and require additional documentation in order to validate ownership. Such documentation includes, but is not limited to, the following by property type: 1. Checking accounts: a. Check (blank or cancelled) showing the account number for that bank; b. Account statement which contains the account number. 2. Savings accounts: a. Copy of passbook; b. Copy of a deposit slip; c. Account statement which contains the account number; d. “1099 INT” Form issued by the bank, showing the account number. 3. Wages: 1. Copy of W-2 Form; 2. Copy of 1099 Form; 3. Copy of state income tax return; 4. Copy of federal income tax return; 5. Previous pay stub. 4. Stock and/or dividends: a. Copy of stock certificate; b. Correspondence or statement from broker showing purchase or sale of the stock. 5. Bearer bonds and certificates of deposit: a. Copy of the record of purchase. 6. Insurance policies: a. Copy of policy; b. Correspondence with insurance company related to and referencing the policy by policy number. 7. Court clerk funds: a. Copy of the court decree or court order for the case that was the source of the funds (examples include probate, condemnation, quiet title, divorce, child support, appearance bond, etc.). 8. Vendor checks: a. Copy of accounts receivable billing; b. Invoices; c. Bills of lading. 9. Property held for deceased owners: a. Affirmation that there has been no probate of the estate of the deceased owner; b. Affirmation that no such probate is contemplated; and c. Affirmation that claimant will indemnify the State of Mississippi for any loss, including attorney fees, should another claimant assert a prior right to the property.