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Unclaimed Property Claim Form - Payroll

  1. Town of Castle Rock

    Unclaimed Property Claim Form - Payroll

  2. Part A - Claimant Information

  3. Part B - Provide the Following Documents

  4. i.e. Utility or insurance bill, NOT bank statement

  5. Part C - Affidavit

    Under penalties of perjury, I hereby certify that the foregoing information is true and correct. I further certify that I 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 agree to indemnify the Town of Castle Rock and its officers and employees for any loss of claim whatsoever resulting from the payment of this claim to me.

  6. Typed name serves as signature agreeing to above affidavit.

  7. General Instructions

    If you are claiming property in the possession of the Town, you must complete and sign this claim form and forward it (either electronically or by mail), together with with the supporting documentation discussed below, to the Town of Castle Rock, Finance Department - Unclaimed Property, 100 North Wilcox Street, Castle Rock, CO 80104.

  8. Supporting Documentation for Claims

    1 - You must submit two (2) forms of personal identification. If the claim is being filed by a party acting as a guardian, executor, administrator or in some other representative capacity, the appropriate documentation demonstrating entitlement to make the claim in that capacity must also be enclosed.

  9. 2 - Documentation proving the reported property owner lived at the reported property address i.e. Utility bill, NOT bank statement

  10. Leave This Blank:

  11. This field is not part of the form submission.