Or. Admin. Code § 170-140-0100

Current through Register Vol. 63, No. 10, October 1, 2024

Section 170-140-0100 - Information Required on Property Claim Form

(1) To be complete, the Property Claim Form must include the Claimant's:

(a) Name:

(A) If the Claimant is an individual, the Claimant's first and last names; or

(B) If the Claimant is an Entity, the Entity's legal name.

(b) Current mailing address;

(c) Current street address if different than the mailing address;

(d) Current and reliable phone number;

(e) Current email address, if applicable;

(f) Prior names or alias(es), if applicable; and

(g) Previous address(es), if applicable.

(h) A description of:

(A) The nature of the Property being claimed; and

(B) The Claimant's interest in the Property.

(2) If the Property is co-owned by another Person, the completed form may include the co-Owner's:

(a) Name:

(A) If the Claimant is an individual, the Claimant's first and last names; or

(B) If the Claimant is an Entity, the Entity's legal name.

(b) Current mailing address;

(c) Current street address if different than the mailing address;

(d) Current and reliable phone number;

(e) Current email address, if applicable;

(f) Prior names or alias(es), if applicable; and

(g) Previous address(es), if applicable.

(3) An indemnity declaration immediately above the Claimant's signature and in prominent letters (e.g., bold type) that states, "I declare under penalty of perjury or mail fraud that to the best of my knowledge I am entitled to the assets of this Claim and agree to indemnify and hold the State Treasurer harmless for and from all claims, loss, costs, damages and expenses that State Treasurer may sustain by turning this asset over to me, or refusal to pay this asset or any part of it to any other person(s)."

(4) Claimant's signature. If the total value of the Property being claimed is more than $2,500.00, the Claimant's signature must be notarized.

(5) If the Claimant is not the original Owner, then the Claimant must provide a description of the relationship between the Claimant and the original Owner.

(6) If the Claimant is the heir or devisee of a deceased Owner, the Claimant must provide a description of the Claimant's relationship to the deceased Owner.

(7) To help expedite the Claim, the Claimant may voluntarily provide the Claimant's full or partial (i.e., last four digits) Social Security number to the Treasurer. The Treasurer will only:

(a) Use the Social Security number to verify the Claimant's entitlement to Property; and

(b) Release Claimant's Social Security number when required by law or court order.

Or. Admin. Code § 170-140-0100

OST 2-2021, adopt filed 06/29/2021, effective 7/1/2021

Statutory/Other Authority: ORS 98.422 & ORS 178.050

Statutes/Other Implemented: ORS 98.392