Cot St 912 Form PDF Details

Every year, countless individuals lose track of their assets, leading to millions of dollars in unclaimed property lying dormant in state treasuries. In Maryland, the journey to reclaim these lost treasures begins with the Cot St 912 form, an essential document processed by the Comptroller of Maryland's Compliance Division. Designed to streamline the recovery of unclaimed assets, this form serves as both a claim form and a checklist, ensuring claimants are well-informed of the required steps and paperwork. It calls for detailed claimant information, a clear depiction of the property in question, and a comprehensive list of documentation for verification purposes, ranging from identity proofs to official documents establishing one's rightful claim to the asset. The Cot St 912 form emphasizes accountability and integrity, highlighted by a section where claimants must affirm the truthfulness of their application under the threat of perjury. Moreover, the form underlines the state's commitment to return lost property without imposing unnecessary fees, pointing out the legal unenforceability of contracts that charge for such recovery within a specified timeframe. This document is not just a form but a beacon for those navigating the complexities of reclaiming what is rightfully theirs, guiding them through each step with precision and care.

QuestionAnswer
Form NameCot St 912 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmaryland unclaimed property form st 912, marylandtaxes gov form st 912, maryland st 912 form, md unclaimed property form

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Control/Claim Number

Unclaimed Property Claim Form & Checklist

Comptroller of Maryland

Compliance Division

Unclaimed Property Unit, 301 West Preston Street

Room 310

Baltimore, Maryland 21201-2385 410-767-1700, or 1-800-782-7383

See attachment for instructions

Please be sure to attach copies of all necessary documentation.

Part A - Claimant Information - Please print clearly

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security or FEIN Number

 

 

Daytime telephone number

 

 

Name of Claimant(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address of Claimant(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, state, zip code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to original owner

 

 

 

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part B - Information on Property claimed - OFFICE USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original owner name

 

 

 

 

 

 

 

 

 

Social Security or FEIN Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of property

 

Holder name

 

 

Amount of Property

 

Part C - Provide the following documents

Copy of your driver’s license or other ID (Required)

Copy of Social Security Card or other documentation containing social security number (Required)

Bank documents (e.g. passbook, bank statement, cancelled check)

Proof of affiliation with:

Letters of Administration

 

Small Estate Papers

Copy of Death Certificate(s) for:

Other:

True Test Copy of Court Order

Part D – Affidavit

Under penalties of perjury, I (we) hereby certify that the foregoing information is true and correct. I (we) further certify that I (we) have not received any property claimed, are entitled to it and know of no other person who claims to be entitled to any portion. I

(we) agree to indemnify the state of Maryland and its officers and employees for any loss of claim whatsoever resulting from the

payment of this claim to me (us).

Signature of claimant

Signature of co-claimant

All services provided by the state Comptroller’s Office are free. Maryland law provides that you do not have to pay a fee to anyone for assisting you in recovering any property within 24 months of the date it was turned over to this office. Contracts which provide

for a fee for such claims are unenforceable.

Part E - For office use only

Claim No.: _______________________

Control No.: _____________________

Holder No.: _____________________

Report Year: _____________________

Received: _______________________

Total:

$ _____________________

COT/ST 912 Rev.5/16

UNCLAIMED PROPERTY CLAIM FORM & CHECKLIST INSTRUCTIONS

General Instructions

If you are claiming property in the possession of the state, you must complete and sign this claim form and forward it, together with the supporting documentation discussed 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. If the claim is being filed by a party acting as a guardian, executor, administrator or in some other representative capacity, the appropriate documentation demonstrating entitlement to make the claim in that capacity must also been enclosed.

1.Entitlement to the property sought must be established by the following types of documentation

a.BANK ACCOUNT - A passbook, bank statement, or cancelled check.

b.DIVIDEND - Proof of affiliation with company.

c.STOCK - The original stock certificate.

d.INSURANCE PROCEEDS – Insurance policy or statement.

e.UNCASHED INSTRUMENTS - Original certified check, money order, travelers check or other negotiable instrument.

f.UNCASHED WAGES - Proof of employment.

In the absence of any of the foregoing evidence and

for claims of other types of property, you should submit copies of the best evidence of ownership available.

If an account was originally opened jointly with the names connected by “and” (John and Mary Doe), both parties must make claim for the funds. If one of the two

parties is deceased, attach a copy of the appropriate death certificate.

Only send in copies of documentation.

Please write legible on all forms.

Finder’s Fees

The state of Maryland does not charge a fee for returning your property to you. Signing an agreement to have someone assist you in recovering unclaimed property may entail the payment of substantial fees. Effective July 1, 1991, such an agreement is unenforceable in Maryland if it covers property which has been in the state’s custody for less than two years.

COT/ST 912 Rev.5/16

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This document will need specific information; to guarantee accuracy, please adhere to the guidelines just below:

1. To begin with, while filling out the maryland cot st912 form, start out with the page that features the next blanks:

maryland unclaimed property claim conclusion process clarified (stage 1)

2. The third part would be to fill out the next few fields: Part C Provide the following, Copy of your drivers license or, Copy of Social Security Card or, Bank documents eg passbook bank, Proof of affiliation with, Letters of Administration, Small Estate Papers, True Test Copy of Court Order, Copy of Death Certificates for, Other, Part D Affidavit, Under penalties of perjury I we, Signature of claimant, Signature of coclaimant, and All services provided by the state.

Copy of Social Security Card or, True Test Copy of Court Order, and Copy of Death Certificates for inside maryland unclaimed property claim

Be extremely attentive when filling out Copy of Social Security Card or and True Test Copy of Court Order, as this is the section where most people make a few mistakes.

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