Authorization to Communicate Information or Power of Attorney – Unclaimed Property Act
BNR-107-V
This form must be completed by any person that wants to give a designated person an authorization or power of attorney for purposes of the Unclaimed Property Act so that they can access confidential information or documents we have about the person or act on their behalf.
2023-12 version
Follow the instructions below before clicking the Fillable PDF Document button at the bottom of the page.
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If you have already opened the fillable form, close it without saving it.
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Download Adobe Reader. If the software is already installed on your computer, go directly to step 4.
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After downloading and installing Adobe Reader, close it.
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Place your cursor on the Fillable PDF Document button at the bottom of the page and right click to display a menu.
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Select Save link as.
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Save the document to your desktop or the folder of your choice. Do not open the document in the download screen that appears.
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Once the document is saved, right click on it to display a menu.
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Click Open with and select Adobe Reader.
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Complete and save the PDF.