IDAHO STATE TAX COMMISSION
IDAHO STATE TAX COMMISSION
UNCLAIMED PROPERTY PROGRAM
UNCLAIMED PROPERTY PROGRAM
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800 Park Blvd., Plaza IV • P.O. Box 70012 • Boise, Idaho 83707-0112 • (208) 334-7623 • Fax (208) 334-5366
(Hearing Impaired TDD) 1-800-377-3529 • tax.idaho.gov • Equal Opportunity Employer
uL01
6/28/07
UP-1 IDAHO REPORT OF UNCLAIMED PROPERTY
Mail address change
Federal EIN: _______________________________
No longer in business
Don’t send form next year
Business name: _____________________________________
Address: ___________________________________________
City, State, Zip: _____________________________________
The Unclaimed Property law requires businesses to review their records to determine if they’re holding unclaimed
money, securities, or other property. Property becomes unclaimed when the owner doesn’t claim it after a certain
.
amount of time has passed, and attempts to locate the owner have failed
Use our free, secure Web site to e-file your unclaimed property report at tax.idaho.gov (click on “Electronic
Filing,” then “File Unclaimed Property Reports Online for Free”). You can also make electronic payments
through the site (click on “Electronic Payments”).
1. Contact person name ........................................................
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____________________________________________________
2. Contact person phone .......................................................
__________________________
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3. E-mail address ..................................................................
__________________________
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4. State of incorporation .......................................................
__________________________
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5. Nothing to report ..............................................................
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6. Number of properties reported (from Form UP-2)...........
__________________________
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7. Number of stock shares remitted (from Form UP-2) .......
__________________________
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8. Amount remitted ($) (from Form UP-2) ..............
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I do hereby swear or affirm that this information is true and correct to the best of my knowledge.
dge.
Authorized Signature ___________________________________________________
Date __________________________
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