At the heart of reconnecting individuals with unclaimed property lies the DFS A4 form, a critical legal document designed to affirm a claimant's identity without the requirement of standard photographic identification. This affidavit, central to the process, is required in circumstances where the claimant cannot present common forms of identification due to unique or challenging situations. Serving as a sworn statement, the form is facilitated by two individuals who know the claimant well, whether through daily interactions or familial bonds. These affiants attest to the claimant's identity and their relationship to the unclaimed property in question, asserting that obtaining typical identification poses a significant hardship for the claimant. Furthermore, the affiants declare their lack of financial interest in the claim, ensuring the process remains impartial and just. This document, effective since October 13, 2010, and integrated into Rule 69I-20.0022, F.A.C., outlines specific guidelines, including the need for a notary public to witness the affiants' signatures, validating the affidavit's authenticity and the claimants' attempts to reclaim what is rightfully theirs. By providing a pathway for those without standard ID forms, the DFS A4 form embodies a bridge to rectify rightful ownership of unclaimed assets, reinforcing the notion that everyone deserves access to their rightful property, despite the obstacles they may face in proving their identity.
| Question | Answer |
|---|---|
| Form Name | Form Dfs A4 1944 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | Affiants, hereinafter, herein, subdivision |
AFFIDAVIT ATTESTING TO CLAIMANT’S IDENTITY
STATE OF _____________________) |
Claim Number __________________ |
COUNTY OF ___________________) |
|
BEFORE ME, this day, personally appeared (1)_________________________________
and (2)_________________________________, who, being first duly sworn, state as follows:
1.We are submitting this sworn statement in connection with the unclaimed property claim filed by
_____________________________________(hereinafter Claimant). We have personal knowledge of Claimant, are familiar with the circumstances of Claimant, personally know and have personally observed Claimant, have experience in dealing with Claimant on a daily basis or as a family member, and know Claimant to be the person named as Claimant in the claim documents. The address of Claimant is ___________________________________
_____________________________________________________________________________________________
2.It is our belief that Claimant does not possess a driver’s license or other photographic identification issued by the United States, a state or territory of the United States, a foreign nation, or a political subdivision or agency thereof. It is our belief that Claimant’s circumstances are such that it would be very difficult or impossible for Claimant to obtain any of the forms of identification specified herein because _________________________________________
_____________________________________________________________________________________________
3. We have no financial interest in the unclaimed property being claimed.
Affiant (1)___________________________ |
Affiant (2)____________________________ |
(Signature) |
(Signature) |
Address ____________________________ |
Address ______________________________ |
____________________________ |
______________________________ |
Birth date ____________________________ |
Birth date ____________________________ |
(month, day, year) |
(month, day, year) |
Sworn to and subscribed before me this ________ day of _______________, 20______, by Affiants
_____________________________ |
______________________________________________ |
(Signature of Notary Public) |
(Print, Type, or Stamp Commissioned Name of Notary Public) |
______________________________________________________________
(Address of Notary)
____________________________________________________________________________________
(City) |
(County) |
(State) |
(ZIP Code) |
*Notary must identify the type of government issued photographic identification produced that verifies Affiants’ names and dates of birth as stated on this form above.
Type of identification shown to Notary by Affiant (such as a drivers license, state identification card, passport, or other similar valid government issued photographic
identification): (1)____________________________ |
(2)_____________________________ |
Form