Brooke E. Lierman 
                                                                                        Comptroller 

Unclaimed Property Claim Form & Checklist 

 Claims can be submitted online via Maryland OneStop.
 For offline completion, please complete all parts below and submit via email.
 In the event additional information is required, our office will contact you directly.
 All claim services provided by the state Comptroller’s Office are free.

Part A – Claimant Information 
Applications that fail to provide an appropriate claim number may be delayed. 
Claim Number          Social Security or FEIN Number 

Name of Claimant(s) or         Business Name 

Current Mailing Address 

City, State, Zip Code 

Phone Number          Email Address 

Part B – Documentation Checklist 

All claimants must establish entitlement to the property sought by providing proof of ownership to the 
funds. Verification of ownership typically involves either address or social security confirmation, though 
certain situations may require addition verification methods.  
Required Documentation: 
 Please ensure all documentation is legible. 
Government-issued ID                                  Copy of your driver’s license  
Please ensure the name on the                         Copy of your state-issued ID card 
document matches the name                             Copy of your passport 
provided in Part A.                                   Copy of your military ID 
                                                      Other 
SSN or FEIN Documentation                             Copy of your social security card 
Please ensure the documentation                       Copy of your W2, 1099, tax return 
contains the entire SSN or FEIN.                      Copy of SS4 Letter for estates 
                                                      Other 

For business or organization                          Copy of updated W-9 
Claims for businesses or 
organizations require a W-9 
attachment. 

                                                                              Email: unclaim@marylandtaxes.gov 
                                                                              Phone: 410-767-1700 or 1-800-782-7383 
Form COT/ST 912 REV 03/21/24                 Website: https://www.marylandtaxes.gov/unclaimed-property/index.php 

Additional Documentation To Support The Request: 
Provide information such as proof of address, ownership, or proof of authorization to claim the funds. Please provide legible 
copies of all documentation unless originals are specifically requested by the Unclaimed Property Division. 

Submitting Claim For: 
Individual 
Provide documents confirming you as owner to the property (i.e. bank statement, cancelled check, 
insurance policy, stock certificate, uncashed wages). If it is a cashier’s check, money order, or check 
provide the original or true test copy.  

  Documents Provided: 
Joint accounts or multiple owners 
If it is a joint account, both owners must sign the claim form, as well as submit copies of photo ID 
and proof of SSN. If one owner is deceased, or in the case of divorce or any other change associated 
with the account, please provide supporting documents (i.e. divorce documents, death certificate). 

  Documents Provided: 
On behalf of another person 
You can submit claims as a parent, custodian, conservator, trustee, guardian, power of attorney 
(POA), or legal representative on behalf of another person. Provide a copy of the owner’s ID (i.e. 
birth certificate of minor, SSN card, government issued ID) along with documents showing you have 
the authority to act on the original owner’s behalf. If claiming on behalf of a trust please provide a 
copy of the complete trust agreement.  

  Documents Provided: 
For deceased owner or estate                                     Total: $ 
If there is a court-appointed estate representative, that person can submit a claim. If there is not a 
representative or the estate is closed, claims can be filed by the surviving spouse, or non-blood 
relative appointed by the court. (i.e. lawyer, banking institution). Attach a copy of the owner’s death 
certificate and relevant documents (i.e. letters of administration, small estate papers, true test copy 
of court order). 

  Documents Provided: 
For business or organization 
Have the form signed by two officers of the organization, provide copies of IDs, and proof of 
authorization. Provide non-redacted relevant documents (i.e. name change, affiliation, merger, 
acquisition, proof of organization, closed, dissolved, or sold). 

  Documents Provided: 

Part C – 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). 

X                                                X
            Signature of claimant                                Signature of co-claimant