Code of Massachusetts Regulations › 960 CMR - OFFICE OF THE STATE TREASURER AND RECEIVER GENERAL › Title 960 CMR 5.00 - Unpaid Check Fund › Section 5.05 - Required Owner Documentation for Claims

Current through Register 1525, July 5, 2024
A claim for a check from the UPCF is initiated by the filing of
				a claim form, which must be completed with the following documentation.
(1) If the owner is a person, the claim form
			 must include that individual's notarized signature and his or her Social
			 Security Number, and the owner must complete a W-9 form or an appropriate
			 substitute (or a W-8 form for foreign owners). The claim form must be completed
			 by the owner him/herself, or the conservator, and include a certification that
			 the owner has not received a replacement check or otherwise been
			 reimbursed.
(2) If the owner is
			 deceased and the claimis initiated on behalf of the decedent, the claim form
			 must be signed by an individual entitled to act on behalf of the decedent and
			 must include a stamped certificate of appointment as Executor/Executrixor
			 Administrator/Administratrix, as well as a copy of the decedent's death
			 certificate. For claims amounting to less than $700.00, however, the Deputy
			 Treasurer may accept appropriate substitute documentation.
(3) If the claimis submitted on behalf of an
			 active business, the individual signing the claim form must provide
			 documentation verifying that he or she has the authority to submit the claim on
			 behalf of the business, for example, an affidavit signed by an appropriate
			 officer of the corporation stating that the individual signing the claim form
			 has the authority to submit the claim on behalf of the corporation.
(4) If the claim is submitted on behalf of a
			 corporation whose dissolution has been completed, the individual signing the
			 claim form must provide a copy of a Corporate Revival Certificate issued by the
			 Secretary of State, as well as a copy of the articles of incorporation and most
			 recent amendment, if any, resulting in a change of corporate officers, or,
			 where appropriate, documentation certifying that the individual signing the
			 claim form has been appointed as the receiver or the assignor for the benefit
			 of creditors.
(5) If the claim is
			 submitted on behalf of any other type of inactive business, the individual
			 signing the claim form must provide verification that he or she is or was the
			 principal owner of the business, or other documentation evidencing his or her
			 right to take the property on behalf of the business, for example, a certified
			 copy of a court order stating that the individual signing the claim form is the
			 trustee of a dissolved or inactive business or documentation verifying the
			 merger or acquisition of the business into or by another business, as well as
			 the documentation required in 960 CMR 5.05(3).
(6) If the claim form is signed by a trustee
			 on behalf of a trust, a guardian, conservator, or other individual with legal
			 authority to do so, he or she must submit the original document conferring
			 legal authority to assert the claim, or a true attested/certified copy
			 thereof.