Form 3433 PDF Details

Embarking on a journey to reclaim unclaimed property in Michigan necessitates a thorough understanding of the Michigan Department of Treasury 3433 form, a cornerstone document for this particular endeavor. Instituted under the authority of Public Act 29 of 1995, the form serves as a vital tool for individuals asserting their rights to unclaimed assets. It meticulously guides claimants through the necessary steps, starting with crucial claimant and property owner information, which includes names, identification numbers, and contact details. The form further delves into the history of the property owner with a section dedicated to listing all former Michigan addresses, ensuring a comprehensive search of potential claims. Of significant note is the section tailored for deceased property owners, which requires detailed documentation and answers about wills, trusts, and probate status, highlighting the form's role in casting a wide net to cover various scenarios of ownership and inheritance. Completing the form requires a declaration of the claimant's honesty and a notarized signature, underscoring the seriousness and legal significance of the claim. Submitted alongside pertinent identification and relationship proof, the form is a key to unlocking the often complicated process of retrieving what is rightfully belonging to citizens or their ancestors from the state's holdings, settling into a meticulous but structured claim process reflected in the recommended 120-day processing window.

QuestionAnswer
Form NameForm 3433
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesunclaimedproperty, Conservator, subsidiaries, CLAIMANT

Form Preview Example

Michigan Department of Treasury 3433 (Rev. 11-10)

Unclaimed Property Inquiry

Issued under authority of Public Act 29 of 1995.

Read the instructions on page 2 before completing this form.

PART 1: CLAIMANT/PROPERTY OWNER INFORMATION

Property Owner’s Name as it Appears on Unclaimed Property Web Search

Property Owner’s Social Security or Federal Employer Identiication Number

 

 

 

Claimant Name

Relationship to Property Owner

Claimant’s Social Security or Federal Employer Identiication Number (if different)

 

 

 

Current Address (Number and Street or RR#)

Property Number(s)

 

 

 

City, State, ZIP code

 

Daytime Telephone Number

 

 

 

PART 2: FORMER ADDRESSES. List all former Michigan addresses used by the property owner.

Street Address

City, State, ZIP Code

PART 3: DECEASED PROPERTY OWNER. Refer to instructions for list of required documentation.

1.Did the Decedent have a Will?

2.Did the Decedent have a Trust?

3.Did the Decedent have a Probated Estate?

Yes

Yes

Yes

No

 

 

No

2b.

Is the Trust open?

No

3b.

Is Probated Estate open?

Yes Yes

No No

PART 4: CLAIMANT CERTIFICATION

Under penalties of perjury, I certify that the information provided on this inquiry form is true to the best of my knowledge. Upon payment of this claim, said claimant will indemnify and hold harmless the State of Michigan, oficers and employees from any damages, claims

or losses of any kind resulting in payment of the property being claimed.

SUBSCRIBED AND SWORN TO BEFORE ME THIS

SIGNATURES OF CLAIMANTS

 

DAY OF

, 20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTARY PUBLIC

COUNTY, STATE

 

 

 

 

 

 

 

 

 

MY COMMISSION EXPIRES

Return completed form along with a copy of a picture I.D., social security card, and required documentation (see page 2) to:

www.michigan.gov/unclaimedproperty

Ofice Use Only:

Approval: 1.____ 2.____ 3.____ 4.____ 5.____

Unclaimed Property Division

Michigan Department of Treasury

P.O. Box 30756

Lansing, MI 48909

Allow 120 days for processing.

3433, Page 2

Instructions for Form 3433, Unclaimed Property Inquiry

FORM INSTRUCTIONS

Part 1. Complete applicable ields.

Part 2. List all former Michigan addresses used by the property owner, including P.O. Boxes.

Part 3. If property owner is deceased, answer all questions and provide required documentation.

Part 4. Sign and have your signature notarized by a Notary Public.

REQUIRED DOCUMENTATION

Individual Property Owner

Submit copies of the following documents:

•Picture ID (driver’s license or identiication card)

•Social security card

•If your name differs from how it appears on the Unclaimed Property Web site, submit legal documentation supporting the name change (e.g. marriage certiicate, adoption papers, divorce decree, etc.).

Claimant Other Than Property Owner

Parent on Behalf of a Minor

Submit a copy of the minor child’s birth certiicate and social security card.

Guardian, Conservator, Trustee or Legal

Representative

Submit a copy of the court documents or other signed legal documents giving you authority to act on the property owner’s behalf. If providing a Durable Power of Attorney, submit a medical provider statement indicating property owner is unable to sign his or her name.

Deceased Property Owner

All questions in Part 3 must be answered in order to process your inquiry. All claims on behalf of deceased owners must include the following documentation (originals will not be

returned):

•Copy of Death Certificate

•Proof of your relationship to decedent (obituary, birth certificate, marriage license)

Documentation required:

1. Did decedent have a Will?

If yes, provide copy of Will.

2. Did decedent have a Trust?

If yes, provide a copy of the Trust.

2b. Is the Trust open?

If yes, the Trustee is entitled to claim the property on behalf of the Trust, the Trustee will need to complete this form.

3. Did decedent have a Probated Estate?

If yes, proceed to 3b to determine what documents are required:

3b. Is the Estate currently open?

•If yes, send a current copy (dated within last 12 months) of your Letters of Authority issued by the probate court certifying your appointment.

•If no, send a copy of the Opening Petition, a copy of the Final Estate Order listing the heirs and the percentage or amount received from the Estate, and a list of current addresses of all heirs.

Business Property Owner

Submit copies of the following documents:

•Business card

•Articles of Incorporation or DBA showing ownership of the business and name changes.

•List of subsidiaries that entity can claim on behalf of.

•Documentation showing authorization for you to act on behalf of the business entity shown as the original property owner.

Closed (But Not Sold) Entities

•Final Federal tax return iled including Schedule C

Sold Entities

•Buy/sell agreement showing who owned the accounts receivable at the close of sale.

Dissolved Entities

•Dissolution papers showing who the shareholders were at the time of the dissolution. If corporation did not ile for dissolution with the State of Michigan, submit the automatic dissolution and a copy of the inal corporate Federal tax return, including Schedule K.

•List of current addresses of all shareholders.

You may also be required to complete a formal claim form and provide additional documentation.

Allow 120 days for processing from the date form was mailed.

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Dissolution writing process described (part 1)

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Writing segment 2 of Dissolution

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