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Schedule

FORM 1

(Regulation 4)

STATEMENT OF DELIVERY OF THE CONTENTS OF A SAFE DEPOSIT BOX

BANKING ACT: SECTION 170(2)(b)

[Name of Financial Institution]
[Minister of Finance]
[Address]
Package No.	Name(s)	Last known address of Owner	Safety Deposit Box No		Date of Last Lease or Rental Payment	Description of Property






For the financial year ended [date]
To be completed by the Financial Institution
Signed and delivered to )
				Manager/Authorized Signatory
Minister of finance )
				Manager/Authorized Signatory

				Date
To be completed by the Minister of State
Signed and received from )
				Minister of Finance/Appointed Trustee
Financial Institution )
				Authorized Signatory

				Date

FORM 2

(Regulation 9)

STATEMENT OF SOLD ABANDONED PROPERTY

BANKING ACT: SECTION 172(2)

Package No.	Name(s) of Purchaser	Name(s) of Previous Owner	Safety Deposit Box No.	Name of Financial Institution		Date of auction	Description of Property	Value EC$
								Gross	Net of authorized deduction







					Minister of Finance/ Appointed Trustee

					Authorized Signatory

					Date

FORM 3

(Regulation 10)

STATEMENT OF UNSOLD ABANDONED PROPERTY

BANKING ACT: SECTION 172(3)

Package No.	Name(s)	Safety Deposit Box No.	Name of Financial Institution		Date of Auction	Description of Property	Gross Value of Property EC$







				Minister of Finance/ Appointed Trustee

				Authorized Signatory

				Date

FORM 4

(Regulation 10)

STATEMENT OF DISPOSAL OF ABANDONED PROPERTY

BANKING ACT: SECTION 172(3)

Package No.	Name(s)	Safety Deposit Box No.	Name of Financial Institution	Description of Property		Reason for Disposal	Intended Form of Disposal	Recipient (if necessary)	Gross Value of Property EC$







					Minister of Finance/Appointed Trustee

					Authorized Signatory

					Date

FORM 5

(Regulation 11)

CLAIM FOR ABANDONED PROPERTY FROM THE ECCB

BANKING ACT: SECTION 173(1)(a)

Claimant information
Name: SSN/ID
Current address:
Telephone: Email:
Owner's information
Name: SSN/ID:
Address on record:
Telephone: Email:
Description of abandoned property
Account No.:
Name of licensed financial institution:
Your status as a claimant: check one box below and attach documents requested —
__ I am the owner.
(Attach proof of identity and address on record (utility bill or monthly statement).
__ I am an heir of the owner.
(Attach a copy of probated will and a copy of death certificate of the owner).
__ I am a trustee or guardian to the owner.
(Attach a copy of current documents establishing guardianship or trust).
__ I am an executor or administrator for the owner's estate.
(Attach a copy of Letters of Administration and a copy of death certificate of the owner).
__ I am an officer of a company.
(Attach current documents establishing your authority to act for the company).
__ I am a parent of the owner who is under age 18.
(Attach a copy of the minor's birth certificate, adoption papers (if applicable)).
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 on payment of this claim said Claimant will indemnify and hold harmless the [Name of Licensed Financial Institution], the Eastern Caribbean Central Bank, their Officers and Employees, from any damages, claims or losses of any kind resulting from the payment of the above described property to the Claimant.

Claimant's Signature	Date
Note: The Licensed Financial Institution reserves the right to request any additional information it deems necessary to support the validity of the claim.
Attach the following information —
(A) Proof of Claimant's Social Security or National Identification Number
(B) Copies of Claimant's Driver's License or any official form of picture identification
(C) Copies of any form of Government Issued Identification for Owner
(D) Proof of current mailing address
Failure to provide your identification, signature, or complete the Claim Form will delay processing.
To be completed by licensed financial institution
Authorized Signature:

[Job Title]	Date

FORM 6

(Regulation 12)

CLAIM FOR ABANDONED PROPERTY FROM THE MINISTER

BANKING ACT: SECTION 173(1)(b)

Claimant information
Name: SSN/ID:
Current address:
Telephone: Email:
Owner's information
Name: SSN/ID:
Address on record:
Telephone: Email:
Description of abandoned property
Safe Deposit Box no.:
Contents:
Property reported by:
(Name of licensed financial institution)
Your status as a claimant: check one box below and attached documents requested —
__ I am the owner.
(Attach proof of identity and address on record (utility bill or monthly statement).
__ I am an heir of the owner.
(Attach a copy of probated will and a copy of death certificate of the owner).
__ I am a trustee or guardian to the owner.
(Attach copies of current documents establishing guardianship or trust).
__ I am an executor or administrator for the owner's estate.
(Attach a copy of Letters of Administration and a copy of death certificate of the owner).
__ I am an officer of a company.
(Attach current documents establishing your authority to act for the company).
__ I am a parent of the owner who is under age 18.
(Attach a copy of the minor's birth certificate, adoption papers (if applicable).
The name Claimant hereby certifies that this claim for property presumed abandoned is valid and just, that all statements herein are true and correct, and that on payment of this claim said Claimant will indemnify and hold harmless the Government of Saint Lucia, the Eastern Caribbean Central Bank, their Officers and Employees, from any damages, claims or losses of any kind resulting from the payment of the above described property to the Claimant.

Claimant's Signature	Date
Note: The Government of Saint Lucia reserves the right to request any additional information it deems necessary to support the validity of the claim.
Attach the following information —
(A) Proof of Claimant's Social Security or National Identification Number
(B) Copies of Claimant's Driver's Licence or any official form of picture identification
(C) Copies of any form of Government Issued Identification for Owner
(D) Proof of current mailing address
Failure to provide your identification, signature or complete the Claim Form will delay processing.
To be completed by Government
Approval of claim no.:
Claimant Name:
Year delivered to State:
Date of last lease payment:
Amount less authorized deductions: EC$
Description of property:
Paid to:
Name of claimant
Authorized signatures:

[Minister of Finance/Appointed Trustee]		Date

[Senior Official]		Date

FORM 7

(Regulation 12)

STATEMENT OF CLAIMED ABANDONED PROPERTY

BANKING ACT: SECTION 173

Package No.	Name(s)	Safety Deposit Box No.	Name of Financial Institution	Description of Property		Name of Claimant	Relationship of Owner to Claimant	Gross Value of Property EC$







					Minister of Finance/ Appointed Trustee

					Authorized Signatory

					Date

FORM 8

(Regulation 13)

CONFIRMATION OF PAYMENT OF CLAIM FOR ABANDONED PROPERTY

BANKING ACT: SECTION 173

Government of Saint Lucia: Ministry of Finance/Licensed Financial Institution/Holding Company
Claimant's Name:
Owner's Name:
Net Value of property received from the ECCB/Minister:
Date of claim from the ECCB/Minister:
Date of claim paid by ECCB/Minister:
Paid to:
Name of Claimant
Authorized Signature:

Minister/Licensed Financial Institution / Holding Company	Date