Fillable City of Round Rock Unclaimed Property Business Claim (City of Round Rock, Texas)

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City of Round Rock Unclaimed Property Business Claim (City of Round Rock, Texas)

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The City of Round Rock Unclaimed Property Business Claim (City of Round Rock, Texas) form is 2 pages long and contains:

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File type: PDF

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BROWSE CITY OF ROUND ROCK, TEXAS (TX) FORMS

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City of Round Rock
Unclaimed Property
Business Claim Form
The City of Round Rock holds property valued at $100 or less that is presumed abandoned or unclaimed subject to
Chapter 76 of the Texas Property Code. If you have unclaimed property, please submit this form and documentation
supporting your claim. All information will remain confidential.
Zip: State:
Other phone:
A) Proof of Claimant’s Social Security Number
B) Copy of Claimant’s Driver’s License or any official form of identification
C) Proof of previous address (Copy of utility bill, canceled check, etc.)
Please indicate your business status on page 2 and provide the documentation listed.
Claimant Signature
The named Claimant hereby certifies that this claim for property presumed abandoned is valid and just, that all
statements herein are true and correct, and that upon payment of this claim said Claimant will indemnify and
hold harmless the City of Round Rock, and it’s officers and employees for any damages, claims or losses of any kind
resulting from the payment of the above described property to the Claimant.
Date: Claimant:
Co-Owner:
Date:
Page 1 of 2
Claimant Information (must be 18 years or older)
B
usiness name:
Claimant name:
First
Address:
Apt. #: C
ity:
Daytime phone number:
Social Security Number or TPIN:
Previous address:
Middle
Last
Amount Claimed:
Required Documentation
The following documents must be provided along with this claim form for the claim to
be proces
sed.
Your Business Status
Check the appropriate box below and attach requested documents.
TEXASCORP, LLC or Professional Corporation
Attach a copy of last Franchise Tax report filed
(If out of state corporation, same as above, including State of Corporation)
Professional Association or Non-Profit Corporation
Attach a copy of last Annual Statement filed with the Secretary of State or
copy of Articles of Incorporation
Private organization, group or association
Attach a document establishing your authority to act
Sole ownership of business
Attach a copy of Certificate To Operate Under Assumed Name filed with the
County Clerk
A Limited or General Partnership
Attach a copy of partnership agreement including names and SSN of partners
Exception, if business is:
Out of business (closed)
Attach a brief statement of closing and a copy of the Articles of Dissolution or
Corporation Liquidation Form filed with the IRS
Name Changed/Assumed/Merged
Attach a copy of Change of Name Amendment or Assumed Name Certificate
Purchased/Sold
Attach a copy of Buy/Sell Agreement
Mail to:
City of Round Rock
Finance Department
Attn: Unclaimed Property
221 East Main Street
Round Rock, TX 78664
Page 2 of 2
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City of Round Rock Unclaimed Property Business Claim (City of Round Rock, Texas)

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Completed 16 July 2020

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