Begin Your Online Claims Request UP Claims Form to DB Step 1 of 4 25% Welcome to our online claims process. If you do not wish to complete an online claim and would rather mail in your claim form please write down the property ID (listed below) and follow the process on this page. Otherwise, by continuing below your claim request will be made online. Property ID*When you clicked "That's Me" this is the property ID for that property. Multiple PropertiesCheck yes if you saw multiple properties under the same name as the property you're claiming and would like us to pull those into this claim for you.YesNoHave you entered or do you plan to enter into a contract with a professional “finder” of unclaimed money?*YesNoIf you checked “yes” be advised that finders must adhere to the following provisions of the Mississippi Unclaimed Property statute: (1) The finder MAY NOT charge any claimant fees totaling more than 10 percent of the paid claim (2) The finder MAY NOT collect any fees associated with properties which have been held by the state less than 7 months. If using a finder service, you should include a copy of the contract along with this claim form for review. Be advised that the Office of State Treasurer (OST) Unclaimed Property Division neither sanctions professional unclaimed money finders, nor is OST a party to any contract between the claimant and finder. All fees associated with professional finding services are a transaction between the contracted finder and his/her client (the claimant). The OST WILL NOT deduct fees from any paid claim on behalf of either the claimant or the finder. All fee transactions are conducted solely between the finder and the claimant/client. Claimant Relationship*MyselfHeirOpen BusinessClosed BusinessPublic EntityAgency Name*Claimant's Name* First Last Original Owner's Name* First Last Claimant SSN Last 4*We use the last 4 of your Social Security Number (SSN) for purposes of proving your identity and right to claim your property. Your SSN will not be used for any purposes other than for processing your claim, and will be held in confidence.Claimant's Date Of Birth* MM DD YYYY Claimant's Email* Enter Email Confirm Email Contact Phone Number*Other PhoneClaimant's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Name*FEIN Tax ID*The department uses your Social Security Number (SSN) or Tax ID for purposes of proving your identity and right to claim your property. Your SSN will not be used for any purposes other than for processing your claim, and will be held in confidence.Federal ID* Upload Required Documents* Drop files here or Accepted file types: jpg, gif, png, pdf, jpeg, tiff. If you are public entity you must upload a copy of: Employee ID Signing Authority Business Card If you are an Individual claiming property, your must provide: Photo ID: Copy of a driver’s license, passport, military ID card or other official card. Social Security Number(s): Copy of the claimant's SSN card. OR, any formal document containing the SS number (ie: top of a tax return, insurance document, or Medicare card etc. Name Change: If owner's name has changed for any reason submit marriage license, divorce decree or legal document showing name change. Minor: If the owner is a minor, send copy of minor's birth certificate. If the owner is deceased, you must provide: Photo ID: Copy of the claimant's driver’s license, passport, military ID card or other official card. Social Security Number(s): Copy of the claimant's SSN card. OR, any formal document containing the SS number (ie: top of a tax return, insurance document, or Medicare card etc. Death Certificate: Send a copy of the owner's death certificate and any deceased heir's death certificate. Will/Obituary/Affidavit of Death: If the owner or the owner's heirs are deceased, please submit a copy of the owner's filed will, if there was one. If none exist, send a copy of the obituary or funeral program showing all heirs. If there was no obituary or funeral program, each claiming heir must complete a notarized Affidavit of Death available here. Is the estate open or closed? Please notate this on the claim form. If the estate is open, we pay the estate in care of the executor. If the estate is closed, we must split the funds between all legal heir(s). Each heir needs to complete a separate claim form. If you are claiming for a corporation or business, you must provide: Photo ID: Copy of officer's company ID badge, driver's license, passport or other official ID card. Employer FEIN Tax Number: Send copy of FEIN for the corporation/business. Proof of Company Position: Examples include a business card or letterhead listing officer. Proof of address: Send proof of company address that was reported to the State. Is business open or dissolved? If business is open, we will pay the business. If the business is dissolved, send legal proof of each owners' name and the percentage of the company each owned. ELECTRONIC SIGNATURE REQUIRED* By checking the checkbox the named claimant hereby certifies that this claim for property presumed abandoned is valid and just, that all statements herein are true and correct, and that upon payment of this claim said claimant will indemnify and hold harmless the State, its officers and employees, from any other valid claims to the said property.This is your electronic signature.