UNCLAIMED CAPITAL CREDITS for the Years 1987 Through 1990
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UNCLAIMED CAPITAL CREDITS For the Years 1987 through 1990 The following is a list of capital credit checks returned to the cooperative, marked unknown or undeliverable. If the name of a deceased person is listed, the spouse, child, or the executor or administrator may be entitled to the refund. In order to receive a deceased member’s capital credits, the “Deceased Member Form” will need to be filled out completely, notarized and returned to our office. INSTRUCTIONS FOR CLAIMING CAPITAL CREDITS 1. Definition of capital credits: Margins (dividends) are distributed to each membership based on the total amount paid for power bills during the calendar year. 2. To claim the capital credits of a deceased member you MUST fall into one of the following groups. a. The executor of the estate or the administrator of the will. b. The spouse. c. The surviving child. 3. You are not entitled to capital credits of the following: grandparents, aunts, uncles or cousins. 4. The “Deceased Member” form MUST be filled out completely, signed and NOTARIZED. Also, please include documentation of the death of the member, such as a death certificate, obituary or estate papers. Make sure a contact telephone is included so you can be reached during the day, if needed. 1 Central Alabama Electric Cooperative Unclaimed Capital Credits for 1987 through 1990 P.O. BOX 681570 Central Alabama Electric CooperativePRATTVILLE, ALABAMA 36068-1570 If you have questions, please call (334) 351-2122. P.O. BOX 681570 PRATTVILLE, ALABAMA 36068-1570 DECEASED MEMBER FORM DECEDENT: Member Number:_______________________________ Name of Member:____________________________________________ Date of Death:_______________________________ Name of Joint Member:________________________________________ Date of Death:_______________________________ Service Address of Decedent: _____________________________________________________________________ APPLICANT: Check one of the following requirements and complete all information for that option: □Administrator Date of Appointment:_________________ Court:_____________________________________________ □Surviving Spouse □Child Date of Birth:________________________ (To my knowledge the estate of the deceased had no will, no executor or administrator, and that no spouse survived the deceased. I understand that if I am not entitled to these Capital Credits, I may be prosecuted of perjury and subject to penalty under the law of the State of Alabama.) Name:___________________________________________ Relationship to Decedent:____________________________________ Mailing Address:______________________________________________________________________________________________ Home Number: ____________________________________ Cell Number:_____________________________________ Social Security Number:_____________________________ Email:____________________________________________________ APPLICATION FOR CAPITAL CREDITS Application is hereby made to Central Alabama Electric Cooperative, hereinafter called the Co-op, to pay the capital credits for the year(s) _____________________, of the above named deceased member, less any sum of debt owed by him/her to the Co-op. Applicant represents that he/she is over the age of 21 years: the aforesaid facts entitle him/her to such payments under the bylaws, rules, regulations and policies of the Co-op; and that the above representations were made for the express purposes of inducing the Co-op to make such payments to this applicant. IN CONSIDERATION of the payment of the aforesaid, receipt of which is hereby acknowledged. I bind myself, my heirs, executors and administrators to protect and save harmless and fully indemnify the Co-op against any damage, claim or expense arising out of the payment of said sums to me. I agree to pay all cost of enforcing this obligation, including a reasonable attorney fee, and I waive as to this obligation all right of exemption as to personal property under the constitution and statues of this and any other state. IN WITNESS WHEREOF, I have hereunto set my hand and seal on this the __________________________day of _____________________________, 20________. _________________________________________________________ Applicant The aforesaid applicant, being by me first duly sworn, an oath that the facts stated in the foregoing QUESTIONNAIRE and APPLICATION are true and correct and subscribed his/her name in my presence. IN WITNESS THEREFOF this ____________________________day of ____________________, 20__________. ________________________________________________________(SEAL) Notary Public Revised Aug 25, 2016 2 Central Alabama Electric Cooperative Unclaimed Capital Credits for 1987 through 1990 P.O. BOX 681570 Central Alabama Electric CooperativePRATTVILLE, ALABAMA 36068-1570 If you have questions, please call (334) 351-2122. P.O. BOX 681570 Account # Account # Account # Account # Account # PRATTVILLE, ALABAMA 36068-1570 A ADDY VIDEL 7987700 ANDERSON HELEN B 2784200 ATCHISON MARGIE MRS 10013400 BAIRD JOHN DAVID 11080900 A J S TRUCK STOP 11861600 ADKINS BARRY L 10803300 ANDERSON HUGH M JR MRS 11245600 ATCHISON MARTHA 8035200 BAIRD MARGARET J 10971700 A T & T COMMUNICATIONS 2111100 ADKINS BILLIE JO MRS 11395900 ANDERSON JOE C 7756600 ATCHISON NEAL B 11899400 BAKER & SONS DAIRY INC 11650500 DECEASED MEMBER FORM AAA BLDRS,JOSEPH HAPONSKI JR 2459100 ADKINS HARRY MRS 10310700 ANDERSON JOHN W 10512100 ATCHISON PAUL A 8838200 BAKER AGNES 7969100 ABBOTT ALSIE M 3458000 ADKINS KIMBERLY M 11503400 ANDERSON MARY JANE 11038800 ATCHLEY ERNEST C 9743800 BAKER ANNIE J 9250700 DECEDENT: Member Number:_______________________________ ABBOTT GENE D 11392200 AHL PATRICIA ANN 11499300 ANDERSON PAMELA L 10979800 ATCHLEY ERNEST C 10308300 BAKER BILLY D 11512200 ABBOTT JERRY 11990400 AKIN JAMES M 8687500 ANDERSON ROBERT 7558500 ATCHLEY ROBERT LEE 11057000 BAKER CLARENCE LEE 8927200 Name of Member:____________________________________________ Date of Death:_______________________________ ABERNATHY JEWEL 3226700 AKIN MARION R 10605000 ANDERSON S J 6109100 ATHEY C S 2339300 BAKER CLARENCE W 4051600 ABRAMS AUBREY L 9576200 ALABAMA GRANITE INC 11015800 ANDERSON STEPHANIE 11794600 ATKEISON HILDA G 10726600 BAKER DARRELL 1544900 Name of Joint Member:________________________________________ Date of Death:_______________________________ ABRAMS CAROLYN MOTEN 1684200 ALABAMA GRANITE INC 11016300 ANDERSON TOM 9447300 ATKINS SANDRA FAYE 10509800 BAKER DARRELL 10825700 ABRAMS ISAAC J JR 8729300 ALABAMA GRANITE INC 11055100 ANDING JOHNNIE SYBOL 9972300 ATKINSON HUGH L 8933700 BAKER J L 4110300 ABRAMS J M 103100 ALABAMA NEW CHANNELS 10702300 ANDING JOHNNIE SYBOL 10548600 ATKINSON J P 75800 BAKER J NORMENT MRS 11257000 Service Address of Decedent: _____________________________________________________________________ ABRAMS KIMBALL E 11655600 ALABAMA NEW CHANNELS 11416400 ANDING REBECCA J 10983600 ATKINSON SHIRLEY 9669900 BAKER JAKE B 6303600 ABRAMS LOIS 9180200 ALABAMA POWER CO 7752000 ANDREWS BESSIE 7969300 ATTAWAY BILLY J 7737800 BAKER JAMES A 5083300 APPLICANT: ABRAMS MILLARD C 8494300 ALABAMA POWER CO 8113300 ANDREWS GARY A 10956800 ATWELL JUNIOR R 10972400 BAKER JAMES N III 11636500 Check one of the following requirements and complete all information for that option: ABSHER F J 3796900 ALABAMA POWER CO 10719200 ANDREWS GLADYS S 11204900 AUSTIN ADAM 9059000 BAKER JEANETTE 4037700 ABSHER WILLIAM D MRS 11744100 ALBRIGHT JEANETTE 11365100 ANDREWS HELEN M 10726000 AUSTIN ALICE 10344000 BAKER JEFFERY L 11124900 Administrator Date of Appointment:_________________ Court:_____________________________________________ □ ABSHIER ANNIE LOU 7868300 ALDRIDGE CHARLES ROBERT 9641500 ANDREWS J C 2581300 AUSTIN GLENDA 11115300 BAKER JIMMY J 10220900 ACEVEDO VICTOR A 11041100 ALDRIDGE JOHNNIE P 11198400 ANDREWS J C 2820100 AUSTIN LOYD F MRS 11282300 BAKER JOEL D 10106300 □Surviving Spouse ACKER MICHAEL C 11312700 ALEXANDER CAPUS JR 6344900 ANDREWS JOHN WILLIAM 9790000 AUSTIN MARY G 9555600 BAKER KAREN W 10621200 ACKLIN DAN 10411600 ALEXANDER DELORES 3093200 ANDREWS JUDY LYNN 11036400 AUSTIN MARY NELL 10513800 BAKER LIZZIE L 6012500 □Child Date of Birth:________________________ ACOFF MARY E 10430600 ALEXANDER EMMA L 2495200 ANDREWS MIKE D NANCY 11038500 AUSTIN W O 10774900 BAKER MARGIE M 9344000 (To my knowledge the estate of the deceased had no will, no executor or administrator, and that no spouse ACREMAN L H 8383300 ALEXANDER EUGENE MRS 6116000 ANDREWS ROBERT E 10812500 AUSTIN WILLIAM S 11210200 BAKER MARY REBECCA 11255400 survived the deceased. I understand that if I am not entitled to these Capital Credits, I may be prosecuted of ACREMAN MORRIS T 11635600 ALEXANDER JAMES 11632400 ANDREWS ROBERT E 11197400 AUSTIN WILLIE G MRS 11100600 BAKER MICHAEL NEAL 11470900 perjury and subject to penalty under the law of the State of Alabama.) ACREMAN REGGIE B 11460900 ALEXANDER JAMES H 11532900 ANDREWS THOMAS PERRY 11317800 AUTERY GLENDA F 11576700 BAKER OSCAR 5090000 ACUFF ROY E 10901800 ALEXANDER JERALD T MRS 11323500 ANGLE JAMES ROBERT 9165500 AUTERY RAYMOND W 11119300 BAKER WADE 703100 Name:___________________________________________ Relationship to Decedent:____________________________________ ADAIR J E 3550900 ALEXANDER JUDY 10794400 ANNIE B CHESSER 3110600 AUTREY ELSIE 1359300 BAKER WILLIAM H MRS 10643200 ADAIR L A 1898200 ALEXANDER LAFAYETTE 7894800 ANSARI ALFONSO ATIF A 10097800 AVANT DANNY L 11100900 BALDWIN OLIAN H 9715800 Mailing Address:______________________________________________________________________________________________ ADAIR