Holder Reporting Extension Request Form - Connecticut Office Of The State Treasurer

ADVERTISEMENT

S
C
TATE OF
ONNECTICUT
O
S
T
FFICE OF THE
TATE
REASURER
Unclaimed Property Division
Holder Reporting Extension Request Form
Calendar Year 20__
We are requesting an extension for:
□ Filing the Report of Unclaimed Property for the year 20__, representing property considered
legally abandoned during the year ended December 31, 20__. Due March 1, 20__. No money is
due at this time. Your payment must accompany your holder report only.
Based on the reason(s) below, I am applying for the extension:
Yes
No
Reorganization/Merger
Personnel Changes
New Accounting System
System Problem
Change in Transfer Agent
Other (Please Explain)____________________
Additional time requested to complete the report:
30 Day
60 Day
90 Day
I am duly authorized to execute this request for an extension by the holder.
Holder Name _____________________________________________ Date of Request __________________
Contact Name________________________________________ Title:
_____________________________
Telephone No.______________ E-mail ____________________ Fax No. _____________________________
Signature _______________________________________________________________________
============================================================================
TREASURER’S OFFICE USE ONLY
The State of Connecticut’s Unclaimed Property Division will consider the following criteria in evaluating the
request.
Adequate
Inadequate
Previous Filing History (If filed)
Timeliness of Filing
Previous Extension Requests (Consecutive)
_________________________________________________________________ Date _____________
Maria M. Greenslade, Assistant Deputy Treasurer
Extension Approved
Extension Denied
Report will be due on __________________________
ST77 Rev. 03/2008

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Holder Reporting Extension Request Form - Connecticut Office Of The State Treasurer - 2012 Holder Reporting Extension Request Form - Connecticut Office Of The State Treasurer - 2012 Legal
Holder Reporting Extension Request Form - Connecticut Trasurer's Office - 2011 Holder Reporting Extension Request Form - Connecticut Trasurer's Office - 2011 Financial
Summary Of Unclaimed Property Form - Kansas Office Of The State Treasurer Summary Of Unclaimed Property Form - Kansas Office Of The State Treasurer Legal
Unclaimed Property Holder Reporting Extension Request Form - Kentucky Department Of Treasury Unclaimed Property Holder Reporting Extension Request Form - Kentucky Department Of Treasury Financial
Unclaimed Property Holder Reporting Extension Request Form - Kentucky Department Of Treasury - 2008 Unclaimed Property Holder Reporting Extension Request Form - Kentucky Department Of Treasury - 2008 Legal
Unclaimed Property Holder Reporting Extension Request Form - Kentucky Department Of Treasury Unclaimed Property Holder Reporting Extension Request Form - Kentucky Department Of Treasury Financial
Charitable Organization Extension Request Form - Minnesota Office Of The Attorney General - 2001 Charitable Organization Extension Request Form - Minnesota Office Of The Attorney General - 2001 Legal
Form Up-7 - Holder Request For Extension - State Of Idaho Office Of The State Treasurer Form Up-7 - Holder Request For Extension - State Of Idaho Office Of The State Treasurer Financial
Request For Holder Reimbursement - State Of Nevada Office Of The State Treasurer Request For Holder Reimbursement - State Of Nevada Office Of The State Treasurer Financial
Holder Reporting Extension Request Form Holder Reporting Extension Request Form Legal

Related Categories

Parent category: Legal
Download
Go