Arizona Form 600A PDF Details

In the heart of Arizona's effort to reunite individuals with their lost or forgotten assets stands the Arizona Department of Revenue's Form 600A, a crucial document designed for the original owners of unclaimed property to stake their claim. A myriad of personal belongings, whether it be dormant bank accounts, uncashed checks, insurance policy proceeds, or stocks and bonds, find their way into the care of the state. These assets wait for rightful owners to step forward and claim them back, a process made possible through Form 600A. With detailed instructions, the form embarks on a thorough identification process, requiring claimants to provide pertinent information, such as property ID numbers or detailed descriptions of the property they intend to reclaim. Moreover, the form insists on the claimant's personal details for accurate identification and efficient communication. A notable feature is its emphasis on documentation; claimants must submit proof of identity, ownership, and, if applicable, the right to claim on behalf of joint owners under specific conditions such as death or divorce. By signing the form, the claimant agrees to indemnify the State of Arizona against any resulting claims, underscoring the gravity of the assertions made within this document. Beyond a simple claim form, the 600A represents a bridge for residents to recover what is rightfully theirs while ensuring the state protects these assets from wrongful claims.

QuestionAnswer
Form NameArizona Form 600A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names Arizona Form 600 D: Claim for Unclaimed Property - AZDOR

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ARIZONA FORM

Arizona Department of Revenue

600A

Claim for Unclaimed Property - Original Owner

Mail to: Arizona Department of Revenue • Unclaimed Property Unit • PO Box 29026 • Phoenix, AZ 85038-9026

Email to: UnclaimedProperty@azdor.gov • This form requires a physical signature.

You must read page 2, which may be on the reverse side, before completing this form.

1

 

Property ID Number or a brief description of the property you are claiming

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Property Owner’s Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Property Owner’s Social Security Number or Tax Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Unclaimed Property Owner’s Address as reported by the Holder

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

Claimant’s Name

Same as above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Claimant’s Social Security or Tax Identification Number

Same as above

Claimant’s Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Joint Owner’s Name

Not applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Joint Owner’s Social Security Number

Joint Owner’s Date of Birth

Address where you would like correspondence, including payment sent

City or town

State

ZIP Code

3In consideration of the payment or delivery of unclaimed property as a result of this claim, I agree to indemnify the State of Arizona and hold it harmless for and from all claims and loss, cost, damages and expenses that the State of Arizona may sustain by reason of turning over the said property and by reason of its refusal hereafter to pay said property or any part thereof to any other person(s). I agree that if, for any reason, it is found that I am not entitled to payments I receive as a result of this claim or I receive duplicate payment, I will return the funds to the Arizona Department of Revenue within 15 days of demand. I swear and attest that all claims, assertions and signatures made in this claim are true and material and that all photocopies I have or will provide are the same as the original documents. Furthermore, I swear and acknowledge that any false statement made in this claim subjects me to penalties related to perjury and the subornation of perjury.

Claimant’s Signature

Claimant’s Signature

STATE OF

 

 

 

 

 

SUBSCRIBED AND SWORN BEFORE ME THIS

 

DAY OF

20

 

 

, BY:

 

 

 

Date

Date

(NOTARY SEAL)

PRINT NAME OF SIGNOR

 

NOTARY PUBLIC

Unclaimed Property Hotline: (602) 364-0380 or outside the Phoenix area toll free: (877) 492-9957

For additional information see our website www.azdor.gov/unclaimed-property

ADOR 10690 (5/21)

Page 1 of 2

ARIZONA FORM

Arizona Department of Revenue

600A

Claim for Unclaimed Property - Original Owner

This form should only be used to claim property of which you are the original owner.

If you are claiming property as the heir or beneficiary of a deceased owner (Form 600B), the agent of an entity (Form 600C) or the agent of a living owner (Form 600D), you must complete the appropriate form.

FORM INSTRUCTIONS

Section 1 of page 1

Regardless of how you answer this Section, we will do a complete search of our database to identify and work to return all unclaimed property belonging to the pertinent owner.

In this section, we ask that you please provide the property ID or a brief description of the property you are claiming. It is not required to complete this section but we ask, if known, that you provide the property ID, if not known it is not required nor helpful to collect this number. If you do not know the property ID number, but are looking for a specific lost asset, it is helpful to give us a brief description, such as, “Southwest Cactus Wren Federal Credit Union Money Order Check #1008 321 6587” or “IRA funds from employer Jackson and Lynch Welding”. Lastly, if you simply wish to collect all miscellaneous unclaimed property you may leave the section blank.

In the remaining questions in this section, you are required to provide the name of the individual you believe to be the owner, this may be your name, and if known, the address, and tax ID number reported by the business or entity that remitted the property to the State of Arizona. If unknown you may leave this Section blank.

Section 2 of page 1

It is very important that you complete this Section fully and accurately. You are required to provide us with your current or correct name and your current/correct contact information. If you provide an email address, we will provide you with a receipt of your claim with 15 to 20 business days of receipt; this information is no longer provided in hard copy. Providing an email address also expedites communication and helps us more efficiently serve you. The address that you record in this Section will be the address that payment will be sent to should your claim be approved.

Section 3 of page 1

You must sign and date the form, we require a physical signature. In this section, please read the declarations carefully. There is a notary section under the signature, you may choose to have the form notarized or provide a legible photocopy of valid government issued photo identification; such as a driver’s license or passport. If there are joint owners, they must also sign the claim form (see evidence requirements below for all joint owner exceptions).

YOU ARE REQUIRED TO SUBMIT THE FOLLOWING EVIDENCE WITH THIS FORM:

You must provide proof of your identity as the claimant. Please provide a clear copy of official photo identification or have your signature on the claim form notarized. If your name has changed since the property was reported to the State of Arizona, you must provide verification of your name change, such as, a court order, marriage license or divorce decree.

You must provide proof of ownership. The Arizona Unclaimed Property Section does not release funds based on name similarity alone, must provide a match to another reported factor, most commonly social security number or match to the reported (not current) address.

Provide proof that you lived at or received mail at the address reported to the State of Arizona as the last known address of the original owner. If you do not know what address was reported to the State of Arizona, you can complete an inquiry at www. missingmoney.com. Acceptable proof includes; the original financial instrument, a statement from the entity that originally held the asset, a canceled envelope addressed to you, a credit report, lease/mortgage, property/income tax documentation, school/military records, past government issued identification or utility bills/statements. Please see our website: azdor.gov/unclaimed-property for a full list of acceptable proof. If you cannot find acceptable proof or do not know the reported address you may provide proof of your social security number and we will attempt to connect you to the reported address.

Provide proof of your social security number. Providing your Social Security number (SSN) is optional. However, if you choose not to provide your SSN, there may be insufficient information available to determine whether you are the owner of the unclaimed property held by the Section and in some cases may result in your claim being denied. If you provide your SSN, the Section will only disclose it to employees involved in paying your claim and to the federal government as required by law.

Joint owners must file together unless:

One of the owners is deceased. In this case, a copy of the joint owner’s death certificate is required.

The owners are now divorced. In this case, a certified copy of the divorce decree and complete property settlement are required.

The owners have lost contact. In this case, a notarized statement that confirms that the owners had no marital relationship, and have lost all contact is required.

Please be aware that each claim is unique and that once your claim is received, the Section may need to request additional information and will allow you an opportunity to provide the additional evidence rather than denying your claim. If you have any questions or

cannot provide the evidence requested we recommend that you complete the claim form and submit the evidence, you can provide, along with a note explaining your circumstances. A claims specialist may be able to clarify and assist you with the evidence requirement.

Mail to: Arizona Department of Revenue • Unclaimed Property Unit • PO Box 29026 • Phoenix, AZ 85038-9026

Email to: UnclaimedProperty@azdor.gov • This form requires a physical signature.

For additional information see our website • www.azdor.gov/unclaimed-property.

ADOR 10690 (5/21)

Page 2 of 2

How to Edit Arizona Form 600A Online for Free

You could fill in Arizona Form 600A without difficulty using our online PDF tool. Our editor is consistently evolving to deliver the best user experience possible, and that is thanks to our commitment to continuous improvement and listening closely to comments from users. Here's what you will need to do to start:

Step 1: First, access the tool by clicking the "Get Form Button" above on this site.

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In an effort to fill out this PDF document, be certain to enter the required information in each and every area:

1. Start filling out your Arizona Form 600A with a number of essential fields. Consider all the important information and be sure there's nothing missed!

Step no. 1 in filling out Arizona Form 600A

2. Your next step is to submit these particular blanks: In consideration of the payment or, Claimants Signature , Claimants Signature , STATE OF, Date , Date , SUBSCRIBED AND SWORN BEFORE ME THIS, DAY OF, NOTARY SEAL, BY, PRINT NAME OF SIGNOR, NOTARY PUBLIC, Unclaimed Property Hotline or, For additional information see our, and ADOR .

A way to prepare Arizona Form 600A part 2

People often make some mistakes when filling out Claimants Signature in this part. Ensure that you review everything you enter here.

Step 3: Revise everything you have inserted in the blanks and press the "Done" button. After registering a7-day free trial account with us, you'll be able to download Arizona Form 600A or email it at once. The document will also be readily available via your personal account page with your each and every change. FormsPal guarantees your information privacy with a protected system that never saves or distributes any kind of private information typed in. Rest assured knowing your docs are kept protected each time you use our tools!