Blank Arizona 600A PDF Form

Blank Arizona 600A PDF Form

The Arizona 600A form is a document used to claim unclaimed property for which you are the original owner. This form must be completed accurately and submitted to the Arizona Department of Revenue to initiate the claims process. To begin your claim, please fill out the form by clicking the button below.

The Arizona 600A form is a vital document for individuals seeking to claim unclaimed property as the original owner. This form, issued by the Arizona Department of Revenue, facilitates the process of reclaiming assets that may have been forgotten or lost over time. To initiate a claim, individuals must provide essential information, including the property ID number or a brief description of the asset, their personal details such as name and Social Security number, and the address associated with the original property owner. It is important to note that this form is specifically designed for original owners; those claiming as heirs or agents must use different forms. Completing the Arizona 600A requires careful attention to detail, including a physical signature and, in some cases, notarization. The form also emphasizes the need for proof of identity and ownership, ensuring that only rightful claimants can retrieve their property. For convenience, the Arizona Department of Revenue offers options to submit the form via mail or email, but individuals must ensure they follow all instructions thoroughly to avoid delays in processing their claims.

Document Sample

ARIZONA FORM

Arizona Department of Revenue

600A

Claim for Unclaimed Property - Original Owner

Mail to: Arizona Department of Revenue • Unclaimed Property Unit • PO Box 29026 • Phoenix, AZ 85038-9026

Email to: [email protected] • This form requires a physical signature.

You must read page 2, which may be on the reverse side, before completing this form.

1

 

Property ID Number or a brief description of the property you are claiming

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Property Owner’s Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Property Owner’s Social Security Number or Tax Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Unclaimed Property Owner’s Address as reported by the Holder

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

Claimant’s Name

Same as above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Claimant’s Social Security or Tax Identification Number

Same as above

Claimant’s Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Joint Owner’s Name

Not applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Joint Owner’s Social Security Number

Joint Owner’s Date of Birth

Address where you would like correspondence, including payment sent

City or town

State

ZIP Code

3In consideration of the payment or delivery of unclaimed property as a result of this claim, I agree to indemnify the State of Arizona and hold it harmless for and from all claims and loss, cost, damages and expenses that the State of Arizona may sustain by reason of turning over the said property and by reason of its refusal hereafter to pay said property or any part thereof to any other person(s). I agree that if, for any reason, it is found that I am not entitled to payments I receive as a result of this claim or I receive duplicate payment, I will return the funds to the Arizona Department of Revenue within 15 days of demand. I swear and attest that all claims, assertions and signatures made in this claim are true and material and that all photocopies I have or will provide are the same as the original documents. Furthermore, I swear and acknowledge that any false statement made in this claim subjects me to penalties related to perjury and the subornation of perjury.

Claimant’s Signature

Claimant’s Signature

STATE OF

 

 

 

 

 

SUBSCRIBED AND SWORN BEFORE ME THIS

 

DAY OF

20

 

 

, BY:

 

 

 

Date

Date

(NOTARY SEAL)

PRINT NAME OF SIGNOR

 

NOTARY PUBLIC

Unclaimed Property Hotline: (602) 364-0380 or outside the Phoenix area toll free: (877) 492-9957

For additional information see our website • www.azdor.gov/unclaimed-property

ADOR 10690 (5/21)

Page 1 of 2

ARIZONA FORM

Arizona Department of Revenue

600A

Claim for Unclaimed Property - Original Owner

This form should only be used to claim property of which you are the original owner.

If you are claiming property as the heir or beneficiary of a deceased owner (Form 600B), the agent of an entity (Form 600C) or the agent of a living owner (Form 600D), you must complete the appropriate form.

FORM INSTRUCTIONS

Section 1 of page 1

Regardless of how you answer this Section, we will do a complete search of our database to identify and work to return all unclaimed property belonging to the pertinent owner.

In this section, we ask that you please provide the property ID or a brief description of the property you are claiming. It is not required to complete this section but we ask, if known, that you provide the property ID, if not known it is not required nor helpful to collect this number. If you do not know the property ID number, but are looking for a specific lost asset, it is helpful to give us a brief description, such as, “Southwest Cactus Wren Federal Credit Union Money Order Check #1008 321 6587” or “IRA funds from employer Jackson and Lynch Welding”. Lastly, if you simply wish to collect all miscellaneous unclaimed property you may leave the section blank.

In the remaining questions in this section, you are required to provide the name of the individual you believe to be the owner, this may be your name, and if known, the address, and tax ID number reported by the business or entity that remitted the property to the State of Arizona. If unknown you may leave this Section blank.

Section 2 of page 1

It is very important that you complete this Section fully and accurately. You are required to provide us with your current or correct name and your current/correct contact information. If you provide an email address, we will provide you with a receipt of your claim with 15 to 20 business days of receipt; this information is no longer provided in hard copy. Providing an email address also expedites communication and helps us more efficiently serve you. The address that you record in this Section will be the address that payment will be sent to should your claim be approved.

Section 3 of page 1

You must sign and date the form, we require a physical signature. In this section, please read the declarations carefully. There is a notary section under the signature, you may choose to have the form notarized or provide a legible photocopy of valid government issued photo identification; such as a driver’s license or passport. If there are joint owners, they must also sign the claim form (see evidence requirements below for all joint owner exceptions).

YOU ARE REQUIRED TO SUBMIT THE FOLLOWING EVIDENCE WITH THIS FORM:

You must provide proof of your identity as the claimant. Please provide a clear copy of official photo identification or have your signature on the claim form notarized. If your name has changed since the property was reported to the State of Arizona, you must provide verification of your name change, such as, a court order, marriage license or divorce decree.

You must provide proof of ownership. The Arizona Unclaimed Property Section does not release funds based on name similarity alone, must provide a match to another reported factor, most commonly social security number or match to the reported (not current) address.

Provide proof that you lived at or received mail at the address reported to the State of Arizona as the last known address of the original owner. If you do not know what address was reported to the State of Arizona, you can complete an inquiry at www. missingmoney.com. Acceptable proof includes; the original financial instrument, a statement from the entity that originally held the asset, a canceled envelope addressed to you, a credit report, lease/mortgage, property/income tax documentation, school/military records, past government issued identification or utility bills/statements. Please see our website: azdor.gov/unclaimed-property for a full list of acceptable proof. If you cannot find acceptable proof or do not know the reported address you may provide proof of your social security number and we will attempt to connect you to the reported address.

Provide proof of your social security number. Providing your Social Security number (SSN) is optional. However, if you choose not to provide your SSN, there may be insufficient information available to determine whether you are the owner of the unclaimed property held by the Section and in some cases may result in your claim being denied. If you provide your SSN, the Section will only disclose it to employees involved in paying your claim and to the federal government as required by law.

Joint owners must file together unless:

One of the owners is deceased. In this case, a copy of the joint owner’s death certificate is required.

The owners are now divorced. In this case, a certified copy of the divorce decree and complete property settlement are required.

The owners have lost contact. In this case, a notarized statement that confirms that the owners had no marital relationship, and have lost all contact is required.

Please be aware that each claim is unique and that once your claim is received, the Section may need to request additional information and will allow you an opportunity to provide the additional evidence rather than denying your claim. If you have any questions or

cannot provide the evidence requested we recommend that you complete the claim form and submit the evidence, you can provide, along with a note explaining your circumstances. A claims specialist may be able to clarify and assist you with the evidence requirement.

Mail to: Arizona Department of Revenue • Unclaimed Property Unit • PO Box 29026 • Phoenix, AZ 85038-9026

Email to: [email protected] • This form requires a physical signature.

For additional information see our website • www.azdor.gov/unclaimed-property.

ADOR 10690 (5/21)

Page 2 of 2

File Specifics

Fact Name Details
Form Purpose This form is used to claim unclaimed property by the original owner.
Mailing Address Claims should be mailed to the Arizona Department of Revenue, Unclaimed Property Unit, PO Box 29026, Phoenix, AZ 85038-9026.
Email Contact Claims can also be submitted via email to [email protected].
Signature Requirement A physical signature is required to validate the claim.
Property Identification Claimants should provide a Property ID number or a brief description of the property being claimed.
Supporting Evidence Proof of identity and ownership must be submitted along with the form.
Notary Option Claimants may choose to have the form notarized or provide a photocopy of valid government-issued ID.
Governing Law This form is governed by Arizona state law regarding unclaimed property.

How to Use Arizona 600A

Completing the Arizona 600A form is a straightforward process. This form allows you to claim unclaimed property as the original owner. Follow these steps carefully to ensure your claim is processed smoothly.

  1. Begin by providing the Property ID Number or a brief description of the property you are claiming.
  2. Fill in the Original Property Owner’s Name.
  3. Enter the Original Property Owner’s Social Security Number or Tax Identification Number.
  4. Provide the Original Unclaimed Property Owner’s Address as reported by the Holder. If unknown, check the box.
  5. In the next section, enter your Claimant’s Name. If it’s the same as the original owner, check the box.
  6. Fill in your Claimant’s Social Security or Tax Identification Number. Again, check the box if it’s the same as above.
  7. Provide your Claimant’s Date of Birth.
  8. Enter your Email Address and Telephone Number.
  9. If applicable, fill in the Joint Owner’s Name and their Social Security Number and Date of Birth.
  10. Provide the Address where you would like correspondence and payment sent, including City, State, and ZIP Code.
  11. Read the indemnity agreement in Section 3 carefully. Then, sign and date the form.
  12. Have the form notarized, or attach a legible photocopy of a valid government-issued photo ID.
  13. Gather and attach required evidence, such as proof of identity and proof of ownership.
  14. Mail the completed form and evidence to the Arizona Department of Revenue at the address provided.

After submitting your claim, you will receive a receipt via email within 15 to 20 business days. Ensure all information is accurate to avoid delays in processing your claim.

Your Questions, Answered

  1. What is the Arizona 600A form?

    The Arizona 600A form is a Claim for Unclaimed Property specifically designed for individuals who are the original owners of the property. It allows these individuals to claim assets that may have been reported as unclaimed by businesses or entities to the State of Arizona.

  2. Who should use the Arizona 600A form?

    This form should only be used by original property owners. If you are claiming property as an heir, beneficiary of a deceased owner, or as an agent for an entity, you will need to use different forms: Form 600B, Form 600C, or Form 600D, respectively.

  3. How do I complete the Arizona 600A form?

    To complete the form, follow these steps:

    • Provide a Property ID number or a brief description of the property.
    • Fill in your name, Social Security Number or Tax Identification Number, and your current address.
    • Include your contact information, such as email and phone number.
    • Sign and date the form, ensuring that all information is accurate.

    Make sure to read page 2 of the form for additional instructions before submission.

  4. What documentation do I need to submit with the form?

    You will need to provide proof of your identity, proof of ownership, and proof of your Social Security number. Acceptable documents may include:

    • A clear copy of official photo identification.
    • Documents that verify your name change, if applicable.
    • Evidence showing you lived at the last known address of the original owner.

    More details on acceptable proof can be found on the Arizona Department of Revenue website.

  5. What if I don’t know the Property ID number?

    If you don’t know the Property ID number, you can still complete the form. While it’s helpful to provide a brief description of the property, you can leave this section blank if you are unsure. The Arizona Department of Revenue will conduct a complete search to identify the property.

  6. Can I submit the Arizona 600A form electronically?

    While you can email the form to [email protected], it must include a physical signature. Therefore, it is recommended to print, sign, and then scan the document before emailing it or mailing it to the address provided.

  7. What happens after I submit my claim?

    Once your claim is received, the Arizona Department of Revenue will review it. If additional information is needed, they will contact you. You should expect to receive a receipt of your claim via email within 15 to 20 business days if you provided an email address.

  8. What if my claim is denied?

    If your claim is denied, you will receive a notification explaining the reason. You may have the opportunity to provide additional information or clarification to support your claim. Each case is evaluated individually, and assistance is available if you have questions.

  9. Do joint owners need to file together?

    Yes, joint owners must file together unless one of the owners is deceased, in which case a death certificate is required. If the owners are divorced or have lost contact, additional documentation may be needed to support the claim.

  10. Where can I find more information about the Arizona 600A form?

    For more detailed information, you can visit the Arizona Department of Revenue’s website at www.azdor.gov/unclaimed-property. You can also contact the Unclaimed Property Hotline at (602) 364-0380 or toll-free at (877) 492-9957 for assistance.

Common mistakes

  1. Incomplete Information: Many individuals fail to provide all required details, such as the property ID number or the original owner's Social Security number. This can delay the processing of their claim.

  2. Incorrect Contact Information: Providing outdated or incorrect contact information can lead to missed communications regarding the claim. It's crucial to double-check the email address and mailing address.

  3. Missing Signature: Some claimants neglect to sign the form. A physical signature is mandatory for the claim to be valid.

  4. Notarization Issues: Claimants often overlook the notary requirement. If the form is not notarized or if a valid photo ID is not provided, it can result in denial of the claim.

  5. Failure to Provide Proof of Identity: Many people forget to include necessary documents that prove their identity, such as a government-issued ID. Without this, the claim may not be processed.

  6. Joint Ownership Oversights: If there are joint owners, both must sign the claim form. Failing to include all signatures can complicate or invalidate the claim.

Documents used along the form

The Arizona 600A form is essential for individuals seeking to claim unclaimed property as the original owner. In addition to this form, there are several other documents that may be required to support your claim. Below is a list of these forms and a brief description of each.

  • Arizona Form 600B: This form is used by heirs or beneficiaries of a deceased owner to claim unclaimed property. It requires proof of relationship to the deceased and may include a death certificate.
  • Arizona Form 600C: This form is intended for agents representing an entity claiming unclaimed property. It requires documentation proving the agent's authority to act on behalf of the entity.
  • Arizona Form 600D: This form is for agents acting on behalf of a living owner. It must include proof of the agent's authority and the owner's consent to file the claim.
  • Proof of Identity: Claimants must provide a clear copy of an official photo ID, such as a driver's license or passport. This helps verify the identity of the claimant and ensures the rightful owner receives the property.
  • Proof of Ownership: This documentation must establish a connection between the claimant and the property being claimed. Acceptable forms include financial statements, utility bills, or other official documents that reflect the claimant's name and address.

Each of these documents plays a crucial role in the claims process. Ensuring that you have the correct forms and supporting evidence will facilitate a smoother experience when claiming your unclaimed property. If you have questions or need assistance, consider reaching out to the Arizona Department of Revenue for guidance.

Similar forms

The Arizona Form 600B is used for claiming unclaimed property as an heir or beneficiary of a deceased owner. Like the 600A form, it requires identification details, such as the deceased owner's name and social security number. The claimant must also provide their own identification and proof of relationship to the deceased. Both forms aim to ensure that the rightful owner or their heirs can reclaim lost assets, but the 600B focuses specifically on claims related to deceased individuals.

The Arizona Form 600C is designed for agents representing an entity in claiming unclaimed property. Similar to the 600A form, it requires the agent to provide their identification and the entity’s details. This form emphasizes the need for proper authorization from the entity, ensuring that the claim is valid and legitimate. Both forms serve to protect the interests of property owners, but the 600C specifically caters to claims made by representatives rather than individuals.

The Arizona Form 600D allows for claims made by agents of living owners. It shares similarities with the 600A form in that both require proof of identity and ownership. However, the 600D form focuses on claims made by someone acting on behalf of a living individual, necessitating additional documentation to confirm the agent's authority. This ensures that claims are handled appropriately and that the true owner’s interests are safeguarded.

The Arizona Form 600E is used for requesting a duplicate payment of unclaimed property. It is similar to the 600A form in that it requires the claimant to provide identification and details about the property. However, the 600E is specifically for situations where a payment has already been issued, but the claimant has not received it. This form streamlines the process for individuals who need to resolve issues related to lost or undelivered payments.

The Arizona Form 600F is intended for individuals seeking to claim unclaimed property held by a trust. Like the 600A form, it requires the claimant to provide identification and proof of ownership. However, the 600F form includes additional sections to accommodate the unique nature of trust ownership. This ensures that claims are processed correctly and that the rights of the trust beneficiaries are honored.

The Arizona Form 600G is for claiming unclaimed property related to a business. It mirrors the 600A form in terms of necessary identification and ownership proof, but it focuses on claims made by business entities rather than individuals. This form helps businesses recover lost assets, ensuring they can maintain their financial integrity while navigating the claims process.

The Arizona Form 600H is used for claims involving joint ownership of unclaimed property. It shares characteristics with the 600A form, particularly in the requirement for both owners to provide identification and signatures. The 600H form specifically addresses the complexities of joint ownership, ensuring that both parties are acknowledged and that their rights are protected during the claims process.

Dos and Don'ts

When filling out the Arizona 600A form, it is important to follow specific guidelines to ensure your claim is processed smoothly. Below is a list of things you should and shouldn't do:

  • Do provide your current and accurate contact information, including your email address.
  • Do include a clear copy of your official photo identification or have your signature notarized.
  • Do provide proof of ownership, such as a canceled envelope or utility bill showing your name and address.
  • Do sign and date the form where indicated, as a physical signature is required.
  • Don't leave sections blank if you have the information available; complete them fully.
  • Don't forget to read the declarations carefully before signing.
  • Don't submit the form without including the necessary evidence to support your claim.
  • Don't use this form if you are claiming property as an heir or beneficiary; use the appropriate form instead.

Misconceptions

Misconceptions about the Arizona 600A form can lead to confusion and delays in processing claims. Below are four common misconceptions along with clarifications.

  • The form can be submitted electronically without a signature. This is incorrect. The Arizona 600A form requires a physical signature. Claims submitted without it will not be processed.
  • Providing the property ID number is mandatory. This is a misconception. While it is helpful to provide the property ID number, it is not required. Claimants can leave this section blank if they do not know the ID.
  • Only the original owner can file a claim using this form. This is misleading. The Arizona 600A form is specifically for original owners. If someone is claiming property on behalf of a deceased owner or as an agent, they must use the appropriate forms (600B, 600C, or 600D).
  • All claims will be approved if the form is completed correctly. This is not true. Each claim is unique, and the Arizona Department of Revenue may require additional information before approval. If the necessary evidence is not provided, claims may be denied.

Key takeaways

When filling out and using the Arizona 600A form, there are several important points to keep in mind:

  • Purpose of the Form: This form is specifically designed for individuals claiming property as the original owner.
  • Signature Requirement: A physical signature is mandatory for the form to be processed.
  • Property Identification: While providing a property ID number is helpful, it is not strictly required. A brief description of the property can suffice.
  • Accurate Information: Ensure that all information, especially your name and contact details, is accurate to avoid delays.
  • Email Communication: Providing an email address allows for quicker communication and receipt confirmation within 15 to 20 business days.
  • Proof of Identity: You must include proof of your identity, such as a government-issued photo ID or notarization of your signature.
  • Proof of Ownership: Documentation must be provided to establish ownership, which can include past addresses or financial statements.
  • Joint Owners: If there are joint owners, they must file together unless specific conditions, like death or divorce, apply.
  • Additional Evidence: Be prepared to provide additional information if requested by the Arizona Department of Revenue after your claim is submitted.

By following these key takeaways, you can navigate the process of claiming unclaimed property in Arizona more effectively.