Controller Property
Resume:
Initiated Date:
Source:
Relationship:
Printed Date:
WEB
Heir
OFFICIAL USE ONLY
Claim ID: 20668824
BETTY T. YEE
California State Controller
UNCLAIMED PROPERTY DIVISION
Unclaimed Property Claim Affirmation Form
Unclaimed Property Division
MAILING ADDRESS P.O. Box 942850, Sacramento, CA 942**-****-***** White Rock Road, Rancho Cordova, CA 95670
800-***-**** (Nationwide) or 916-***-**** (Outside of US) Page 1 of 3 YURI CID
1085 MARTIN LUTHER KING JR AVE
Long Beach, CA 90813
This is to inform you that the property listed below may belong to you. This property was turned over to the State Controller’s Unclaimed Property Division, as required by law, for safekeeping until it can be claimed by the rightful owner or their heirs. California’s unclaimed property law requires businesses to submit property, such as bank accounts, stocks, bonds, and the contents of safe deposit boxes, to the state if there has been no activity on the account, or the business has had no contact with the owner, generally for three years.
To claim this property, or the net proceeds of any sale of property as required by law, please complete Sections C and D of this form and return it with the required documentation to the address below. If you do not have all of the items required, please send as much information as possible to prove you are the owner of the property. Once your signed Claim Affirmation Form and required documentation have been received, please allow up to 180 days for processing. For more information about this program including filing instructions, forms, or to inquire about your claim status, please visit the State Controller’s website at www.claimit.ca.gov. Claimants may also contact the Unclaimed Property Division by phone at 800-***-****. International callers should call
916-***-**** for inquiries.
PLEASE NOTE: Properties recently transferred to the State Controller’s Office may not appear on our website. If you have an outstanding debt with a California state agency, city or county, your unclaimed property payment may be intercepted to pay the debt.
Section A - Property Owner Information
Owner(s) Name
CID YURI
Reported Owner Address
1027 CHESTNUT AVE APT B, LONG BEACH, CA 90802
Type of Property
Utility Deposits
Reported By
SCE
Property ID Number
Cash Reported
$1.15
Shares Reported Name of Security Reported
Owner(s) Name
CID YURI
Reported Owner Address
1143 LINDEN AVE, LONG BEACH, CA 90813
Type of Property
Misc Intangible Property
Reported By
BANCORP BANK THE
Property ID Number
Cash Reported
$1.33
Shares Reported Name of Security Reported
Initiated Date:
Source:
Relationship:
Printed Date:
11/29/2022
WEB
Heir
11/29/2022
OFFICIAL USE ONLY
Claim ID: 20668824
Unclaimed Property Division
MAILING ADDRESS P.O. Box 942850, Sacramento, CA 942**-****-***** White Rock Road, Rancho Cordova, CA 95670
800-***-**** (Nationwide) or 916-***-**** (Outside of US) Page 2 of 3 Claim Affirmation Form (continued)
Section B - Required Documentation
Please see the attached "Documentation Required for Deceased Owner Claims" Section C - Claimant Information
Each of the undersigned claimants certifies, under penalty of perjury, that the claimant has read the claim and knows the contents thereof and that the claimant is the owner of said claim and the person entitled to receive the money and property set forth in said claim. Each claimant agrees to indemnify and hold harmless the State, its officers, and employees from any loss resulting from the payment of said claim. EACH CLAIMANT MUST SIGN THIS AFFIRMATION OR THE CLAIM WILL BE RETURNED. For claims filed for a business, the authorized owner's signature is required. For claims filed for an estate or trust, the signature of the executor, administrator or trustee is required.
Claimant Information
CURRENT LEGAL LAST NAME OR BUSINESS NAME
Cid
CURRENT LEGAL FIRST NAME
Yuri
MIDDLE SSN OR FEDERAL TAX ID
CURRENT MAILING ADDRESS
1085 martin luther king jr ave
CITY
Long Beach
STATE/PROVINCE
CA
ZIP CODE
90813
COUNTRY
DRIVER LICENSE NUMBER DATE OF BIRTH EMAIL ADDRESS
********@*****.***
DAYTIME PHONE
SIGNATURE DATE
Additional Claimant Information (if Applicable)
CURRENT LEGAL LAST NAME OR BUSINESS NAME CURRENT LEGAL FIRST NAME MIDDLE SSN OR FEDERAL TAX ID CURRENT MAILING ADDRESS CITY STATE/PROVINCE ZIP CODE COUNTRY DRIVER LICENSE NUMBER DATE OF BIRTH EMAIL ADDRESS
DAYTIME PHONE SIGNATURE DATE
Section D - Affidavit Notarization
(YOUR SIGNATURE(S) MUST BE NOTARIZED IF THE CLAIM AMOUNT IS $1,000 OR GREATER. ALL CLAIMS FOR SECURITIES OR SAFE DEPOSIT BOXES MUST BE NOTARIZED.) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of, County of Subscribed and sworn to (or affirmed) before me on this day of, 20 by, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Signature (seal) PRIVACY NOTIFICATION
The Information Practices Act of 1977 and the Federal Privacy Act require this Bureau to inform you that your Social Security number and other documents are requested for property identification and processing of your claim. You have the right to view your records at this office by writing : Division Chief, Unclaimed Property Division, P.O. Box 942850, Sacramento, CA 94250 - 5873. Initiated Date:
Source:
Relationship:
Printed Date:
11/29/2022
WEB
Heir
11/29/2022
OFFICIAL USE ONLY
Claim ID: 20668824
Unclaimed Property Division
MAILING ADDRESS P.O. Box 942850, Sacramento, CA 942**-****-***** White Rock Road, Rancho Cordova, CA 95670
800-***-**** (Nationwide) or 916-***-**** (Outside of US) Page 3 of 3 Controller Betty T. Yee
California State Controller's office
Unclaimed Property Division
To claim the property report in the name of a deceased owner, please print the filing instructions and list of documentation that must accompany your signed Claim Affirmation Form: Filing Instructions for Heir Filing A Deceased Owner Claim The filing instructions provide detailed information on what documentation is needed in order for us to verify your ownership of the property. If the deceased owner has the same name as the one on the account, it does not necessarily mean that they are the owner. There are many people who share the same name. To make sure our office is able to verify that you are the rightful owner, you must provide all the required documentation. If you are the heir of a deceased account owner, you will also be asked to provide certified copies of the official documents, such as a will or trust, that proves that you are entitled to claim the property. If there is no will or trust, additional forms will need to be filled out.
Although the Social Security Number (SSN) is our primary method of verification, we sometimes cannot verify a claim based on the SSN because the company reporting the property did not provide an SSN when transferring the property to us. In these cases, we will need the additional documentation listed in the filing instructions to verify your claim. If you have these documents available, please submit them when you file your claim to ensure the processing of your claim is not delayed. REV 09/28/2021
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