Transcription of Unclaimed Property Claim Form & Checklist Comptroller of ...
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COT/ST 912 Property Claim form & Checklist Comptroller of MarylandCompliance DivisionUnclaimed Property Unit, 301 West Preston Street Room 310 Baltimore, Maryland 21201-2385410-767-1700, or 1-800-782-7383 See attachment for instructionsPlease be sure to attach copies of all necessary A - Claimant Information - Please print clearlyName of Claimant(s) Social Security or FEIN Number Daytime telephone numberAddress of Claimant(s)City, state, zip codeRelationship to original owner Email AddressPart B - Information on Property claimed - OFFICE USE ONLYO riginal owner name Social Security or FEIN NumberType of Property Holder name Amount of PropertyPart C - Provide the following documentsCopy of your driver s license or other ID (Required)Copy of Social Security
below, to the Unclaimed Property Section at the address shown on the front. Supporting Documentation for Claims All claimants must establish (1) their personal identity and (2) entitlement to the property sought. 1. You must submit two forms of personal identification, one of which must show your social security number.
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