Property Relinquishment Form
If you are the rightful owner of unclaimed property being held by the State Controller’s Office (SCO) and you wish to relinquish your interest in the property to another individual or business, you must
complete this form and a Claim Affirmation Form and submit them along with all required documentation described in the filing instructions to the State Controller’s Office.
∙To search for unclaimed property and complete a Claim Affirmation Form, go to our Web site located at http://scoweb.sco.ca.gov/UCP/Default.aspx
∙To obtain claim filing instructions for an owner, heir or business owner of unclaimed property, go to our Web site located at http://www.sco.ca.gov/upd_form_claim.html
I, __________________________________________, relinquish all rights and interest in SCO Property
(Print First, Middle, Last Name)
ID Number(s) _________________________________ to: ____________________________________
(Print First, Middle, Last Name or Print Business Name)
SSN/FEIN: _______________________, who can be reached at: _______________________________
(Telephone Number)
and whose residence or business address is_________________________________________________
(Residence Address, City, State, Zip or Business Address if releasing to Business)
_______________________________________________on___________________________________
(Signature of Relinquishing Owner or Corporate Officer or Member) |
(Date) |
State of __________________, County of ______________________
Subscribed and sworn to (or affirmed) before me this _____________ day of ___________, 20 ______
by _________________________________, who proved to me on the basis of satisfactory evidence to
be the person(s) who appeared before me.
(Seal)
______________________________________
(Notary Public Signature)
If you have any questions, please contact us at (800) 992-4647. Please mail the Claim Affirmation Form, Property Relinquishment Form and required documentation to:
State Controller’s Office
Unclaimed Property Division
P.O. Box 942850
Sacramento, CA 94250-5873