New York Office of Unclaimed Funds – Forms

  • Small Estates Affidavit – If the account owner is deceased and there was no estate representative appointed by the courts, and you are a blood relative or creditor of the deceased, you may use the Small Estates AffidavitIf the account owner is deceased and there was no estate representative appointed by the courts, and you are a blood relative or creditor of the deceased, you may use the Small Estates Affidavit (1310) form. (1310) form.
  • Table of Heirs – A form used, usually in tandem with a Small Estates AffidavitIf the account owner is deceased and there was no estate representative appointed by the courts, and you are a blood relative or creditor of the deceased, you may use the Small Estates Affidavit (1310) form., by surviving blood relatives of a decedent if there was no estate representative appointed by the courts.
  • Security Refund Request – Your claim may involve securities (stock). Use this form to inform us of your payment preference for the return of your securities by choosing one of the four options under PART A. Be sure to provide all of the requested information and then sign your form under PART B.
  • Claim Information Affidavit for Cash – If we are unable to locate cash funds referred to in your correspondence, we will require you and the reporting organization to complete and return this form. This will tell us how and when the funds you are requesting were reported to our office.
  • Claim Information Affidavit for Securities – If we are unable to locate the securities (stock) or bearer bonds referred to in your correspondence, we will require you and the reporting organization to complete and return this form. This will tell us how and when the funds you are requesting were reported to our office.
  • Reporting Organization Reimbursement Application – New York State Abandoned PropertyState law requires banks, insurance companies, utilities, and other businesses to turn dormant savings accounts, unclaimed insurance and stock dividends, and other inactive holdings over to the State. If there has been no activity in the account for a set period of time, usually between two and five years, your money is considered unclaimed or abandoned. Law requires organizations to annually review their records and transfer accounts that have reached certain dormancy thresholds to the State Comptroller, who serves as custodian of the funds until they can be returned to their rightful owners. Banks, insurance companies, corporations and the courts are among the many organizations required to report dormant accounts to the State Comptroller.
  • Blank User Application – This form can be used to complete general searches of the OUF database for owners, heirs or company representatives who cannot or do not wish to complete their claim online.
  • W-8Ben – If you do not reside in the United States (U.S.), and you do not have a U.S. Social Security NumberA nine-digit number issued to U.S. citizens, permanent residents, and temporary (working) residents under section 205(c)(2) of the Social Security Act, codified as 42 U.S.C. § 405(c)(2). The number is issued to an individual by the Social Security Administration, an independent agency of the United States government. It has since come to be used as an identifier for individuals within the United States., this office must withhold thirty percent (30%) of the interest payable on interest eligible refunds. Those funds are then to be turned over to the U.S. Internal Revenue Service, unless there is a tax treaty between the U.S. and your country of residence. To confirm your residency, and possibly qualify for a reduced withholding rate, you must complete and submit a W-8BEN form.

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