Ohio Department of Commerce – Table of Heirship (Unclaimed Funds Claim, Claims Less Than $3,000) Instructions
This form contains 130 fields organized into 33 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Child Information | ||
| Child's Full Name | Text |
Enter the child's first, middle (maiden name, if applicable), and last name.
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| Child's Parent's Name | Text |
Enter the first name of the child's parent, as listed in Section 1.
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| Child's Date of Birth (MM/DD) | Date |
Enter the month and day of the child's birth.
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| Child's Date of Birth (YYYY) | Date |
Enter the year of the child's birth.
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| Child's Date of Death (MM/DD) | Date |
Enter the month and day of the child's death.
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| Child's Date of Death (YYYY) | Date |
Enter the year of the child's death.
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| Deceased Owner Information | ||
| Deceased Owner Name | Text |
Enter the full legal name of the deceased owner.
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| Deceased Date | Date |
Enter the date of the deceased owner's passing.
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| Property ID | Text |
Enter the property identification number(s) associated with the deceased owner's assets.
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| Additional Property Information | Text |
Provide any additional property identification numbers or relevant details for the deceased owner's assets.
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| Deceased Owner Name | Text |
Enter the full name of the deceased person whose property is being claimed.
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| text_f7bd_74d5 | Text | |
| Deceased Date | Date |
Enter the date the deceased property owner died.
|
| Property ID | Text |
Enter the Property ID found on the claim details page printed with your claim form.
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| Father's Information | ||
| checkbox_20a8_1a4b | CheckBox | |
| Father's Full Name | Text |
Enter the full name of the deceased owner's father.
|
| Father's Birth Date | Date |
Enter the birth date of the deceased owner's father.
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| Father's Death Date | Date |
Enter the death date of the deceased owner's father.
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| Fifth Child Information | ||
| Fifth Child First Name | Text |
Enter the first name of the deceased owner's fifth child.
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| Fifth Child Last Name (Maiden) | Text |
Enter the last name (maiden name) of the deceased owner's fifth child.
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| Fifth Child Date of Birth | Date |
Enter the date of birth of the deceased owner's fifth child.
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| Fifth Child Death | Checkbox |
Check this box if the fifth child listed in Section 2 is deceased.
|
| Fifth Sibling Information | ||
| Fifth Sibling First Name | Text |
Enter the first name of the fifth sibling.
|
| Fifth Sibling Date of Death | Date |
Enter the date of death of the fifth sibling.
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| Fifth Sibling Death | Checkbox |
Check this box if the fifth sibling is deceased.
|
| First Child Information | ||
| First Child Last Name (Maiden) | Text |
Enter the last name (or maiden name) of the first child.
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| First Child First Name | Text |
Enter the first name of the first child.
|
| First Child Middle Name | Text |
Enter the middle name of the first child.
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| First Child Date of Birth | Date |
Enter the date of birth of the first child.
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| First Child Date of Death | Date |
Enter the date of death of the first child.
|
| First Declarant | ||
| First Declarant Signature | Text |
Provide the signature of the first declarant.
|
| First Declarant Printed Name | Text |
Provide the printed full name of the first declarant.
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| First Declarant Date | Date |
Provide the date of the declaration.
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| First Grandchild Information | ||
| First Grandchild First Name | Text |
Enter the first name of the first grandchild.
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| First Grandchild Parent's Name | Text |
Enter the name of the first grandchild's parent(s).
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| First Grandchild Date of Birth | Date |
Provide the birth date of the first grandchild.
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| First Grandchild Date of Death | Date |
Provide the date of death for the first grandchild, if applicable.
|
| Default group | RadioButton | |
| First Sibling's Name | ||
| First Sibling Middle Name | Text |
Please enter the middle name of the first sibling of the deceased owner.
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| First Sibling Last Name | Text |
Please enter the last name (or maiden name) of the first sibling of the deceased owner.
|
| First Sibling First Name | Text |
Please enter the first name of the first sibling of the deceased owner.
|
| First Spouse Information | ||
| First Spouse Date of Marriage | Date |
Enter the date of marriage for the first spouse.
|
| checkbox_d7f7_9f79 | CheckBox | |
| First Spouse First Name | Text |
Enter the first name of the first spouse.
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| First Spouse Last Name (Maiden) | Text |
Enter the last name (maiden) of the first spouse.
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| First Spouse Date of Birth | Date |
Enter the date of birth for the first spouse.
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| First Spouse Date of Death | Date |
Enter the date of death for the first spouse.
|
| Fourth Child Information | ||
| Fourth Child First Name | Text |
Enter the first name of the fourth child.
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| Fourth Child Middle Name | Text |
Enter the middle name of the fourth child.
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| Fourth Child Date of Birth | Date |
Enter the date of birth of the fourth child.
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| Fourth Child Date of Death | Date |
Enter the date of death of the fourth child.
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| Fourth Sibling Information | ||
| Third Sibling First and Middle Name | Text |
Enter the third sibling's first and middle names.
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| Third Sibling Date of Birth | Date |
Enter the third sibling's date of birth.
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| checkbox_a399_b9e3 | CheckBox | |
| Grandchild Information | ||
| Grandchild Name | Text |
Provide the grandchild's first, middle (maiden name if applicable), and last name.
|
| Grandchild Parent's Name | Text |
Provide the first name of the grandchild's parent, as listed in Section 2.
|
| Grandchild Date of Birth | Date |
Provide the grandchild's date of birth.
|
| text_3eb6_50f1 | Text | |
| Grandchild Date of Death | Date |
If the grandchild is deceased, provide the grandchild's date of death.
|
| Heirship Row 4 | ||
| Heir 4 Full Name | Text |
Provide the complete name of the heir listed in the fourth row of the heirship table.
|
| Heir 4 Relationship | Text |
State the relationship of the heir in the fourth row to the deceased, such as "Son" or "Daughter".
|
| Heir 4 Date | Date |
Enter a relevant date for the heir in the fourth row, such as their date of birth or date of death.
|
| Heir 4 Share | Text |
Indicate the share or portion of the inheritance for the heir listed in the fourth row.
|
| Heirship Row 5 | ||
| Heirship Row 5 Name | Text |
Enter the full name of the heir for Heirship Row 5.
|
| Heirship Row 5 Relationship | Text |
Enter the relationship of the heir in Heirship Row 5 to the deceased owner.
|
| Heirship Row 5 Status/Details | Text |
Provide the status or other relevant details for the heir in Heirship Row 5.
|
| Heirship Row 5 | Checkbox |
Check this box if the information in Heirship Row 5 is applicable or confirmed.
|
| Heirship Row 6 | ||
| Row 6 Heir Name | Text |
Enter the full legal name of the heir listed in row 6 of the heirship table.
|
| Row 6 Heir Relationship | Text |
Enter the relationship of the heir listed in row 6 to the deceased.
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| Row 6 Heir Date of Birth | Date |
Enter the date of birth for the heir listed in row 6.
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| Row 6 Heir Date of Death | Date |
Enter the date of death for the heir listed in row 6, if applicable.
|
| Mother's Information | ||
| Mother's Full Name | Text |
Provide the deceased owner's mother's full name, including her maiden name if applicable.
|
| Mother's Date of Birth | Date |
Enter the deceased owner's mother's date of birth.
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| Mother's Date of Death | Date |
Enter the deceased owner's mother's date of death.
|
| Parent Information | ||
| text_8c14_9c81 | Text | |
| Parent 1 Name | Text |
Enter the first, middle, (maiden name, if applicable) and last name for the first parent.
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| Parent 1 Date of Birth | Date |
Enter the date of birth for the first parent.
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| Parent 2 Date of Birth | Date |
Enter the date of birth for the second parent.
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| Parent 1 Date of Death | Date |
If the first parent is deceased, enter their date of death.
|
| Parent 2 Date of Death | Date |
If the second parent is deceased, enter their date of death.
|
| Second Child Information | ||
| Second Child's First Name | Text |
Enter the first name of the deceased owner's second child.
|
| Second Child's Middle Name | Text |
Enter the middle name of the deceased owner's second child.
|
| Second Child's Date of Birth | Date |
Enter the date of birth for the deceased owner's second child.
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| Second Child's Date of Death | Date |
Enter the date of death for the deceased owner's second child.
|
| Second Declarant | ||
| Second Declarant Printed Name | Text |
Enter the printed name of the second declarant.
|
| Second Declarant Signature | Text |
Enter the signature of the second declarant.
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| Second Declarant Date | Date |
Enter the date of the second declarant's declaration.
|
| Second Grandchild Information | ||
| Second Grandchild First Name | Text |
Provide the first name of the deceased owner's second grandchild.
|
| Second Grandchild Parent(s) Name | Text |
Provide the name(s) of the deceased owner's second grandchild's parent(s).
|
| Second Grandchild Date of Birth | Date |
Provide the birth date of the deceased owner's second grandchild.
|
| checkbox_41da_d019 | CheckBox | |
| Second Sibling Information | ||
| Second Sibling First Name | Text |
Enter the first name of the second sibling.
|
| Second Sibling Date of Birth | Date |
Enter the date of birth for the second sibling.
|
| Second Sibling Date of Death | Date |
Enter the date of death for the second sibling.
|
| Second Spouse Information | ||
| Second Spouse's First Name | Text |
Enter the first name of the deceased owner's second spouse.
|
| Second Spouse's Middle and Last Name | Text |
Enter the middle name and the last name of the deceased owner's second spouse, including their maiden name if applicable.
|
| Second Spouse's Date of Birth | Date |
Enter the date of birth of the deceased owner's second spouse.
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| Second Spouse's Date of Death | Date |
Enter the date of death of the deceased owner's second spouse.
|
| Seventh Sibling Information | ||
| Seventh Sibling First Name | Text |
Enter the first name of the seventh sibling.
|
| checkbox_e5cc_dcbc | CheckBox | |
| checkbox_edae_9d66 | CheckBox | |
| Sibling Information | ||
| text_a6c3_d775 | Text | |
| Sibling Name | Text |
Enter the sibling's first, middle (maiden name, if applicable), and last name.
|
| Sibling Date of Birth | Date |
Enter the sibling's date of birth.
|
| text_71d3_18a5 | Text | |
| Sibling Date of Death | Date |
Enter the sibling's date of death if they are deceased.
|
| Signature | ||
| Signature | Text |
Enter your signature.
|
| Sixth Child Information | ||
| Sixth Child First Name | Text |
Enter the first name of the sixth child of the deceased owner.
|
| Sixth Child Middle Name | Text |
Enter the middle name of the sixth child of the deceased owner.
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| Sixth Child Date of Birth | Date |
Provide the date of birth for the sixth child.
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| Sixth Child Date of Death | Date |
Provide the date of death for the sixth child, if applicable.
|
| Sixth Sibling Information | ||
| Sixth Sibling First Name | Text |
Enter the first name of the deceased owner's sixth sibling.
|
| checkbox_f510_a551 | CheckBox | |
| checkbox_08b4_66bf | CheckBox | |
| Spouse Information | ||
| Spouse Name | Text |
Enter the spouse's first, middle, (maiden name, if applicable) and last name.
|
| Spouse Date of Birth | Date |
Enter the spouse's date of birth.
|
| Spouse Date of Death | Date |
If the spouse is deceased, enter the spouse's date of death.
|
| text_4230_1435 | Text | |
| Third Child Information | ||
| Third Child First Name | Text |
Enter the first name of the deceased owner's third child.
|
| Third Child Last Name (Maiden) | Text |
Enter the last name or maiden name of the deceased owner's third child.
|
| Third Child Date of Birth | Date |
Provide the date of birth for the deceased owner's third child.
|
| Third Child Death | Checkbox |
Check this box if the third child is deceased.
|
| Third Grandchild Information | ||
| Third Grandchild First Name | Text |
Enter the first name of the third grandchild.
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| Third Grandchild Parent(s) Name | Text |
Enter the name(s) of the parent(s) of the third grandchild.
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| Third Grandchild Birth Date | Date |
Enter the birth date of the third grandchild.
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| Third Grandchild Death | Checkbox |
Check this box if the third grandchild is deceased.
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| Third Sibling Information | ||
| Third Sibling First Name | Text |
Enter the first name of the deceased owner's third sibling.
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| Third Sibling Date of Birth | Date |
Enter the date of birth for the deceased owner's third sibling.
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| checkbox_4689_636f | CheckBox | |
| Unlabeled Field | ||
| Unlabeled Field | Text |
Please enter the required information for this unlabeled field.
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