Form Up-2 - Unclaimed Property Report - Owner Information
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1UP-2 (8-09)
State of New Jersey
UP-2
UNCLAIMED PROPERTY REPORT – OWNER INFORMATION
Page ______ of ______ For Period Ended ________________ 20________
HOLDER
.
OWNER LAST NAME
FIRST NAME
MIDDLE NAME
PREFIX
SUFFIX
OWNER TITLE
OWNER STREET ADDRESS
CITY
STATE
ZIP CODE
COUNTY
OWNER ID/SS#
OWNER BIRTH DATE
TRANSACTION DATE
PROPERTY TYPE CODE
CASH REPORTED
STOCK ISSUE NAME
C.U.S.I.P. #
No. of SHARES
ACCOUNT NO
CHECK NO.
RELATIONSHIP CODE
OWNER TYPE
# of OWNERS
DATED DATE OF
TRANSFER
OWNER
UNEXCHANGED
UNEXCHANGED
REMITTED SECURITIES
METHOD
CERTIFICATE NO.
ISSUE NAME
C.U.S.I.P. #
DESCRIPTION
DESCRIPTION
OWNER LAST NAME
FIRST NAME
MIDDLE NAME
PREFIX
SUFFIX
OWNER TITLE
OWNER STREET ADDRESS
CITY
STATE
ZIP CODE
COUNTY
OWNER ID/SS#
OWNER BIRTH DATE
TRANSACTION DATE
PROPERTY TYPE CODE
CASH REPORTED
STOCK ISSUE NAME
C.U.S.I.P. #
No. of SHARES
ACCOUNT NO
CHECK NO.
RELATIONSHIP CODE
OWNER TYPE
# of OWNERS
DATED DATE OF
TRANSFER
OWNER
UNEXCHANGED
UNEXCHANGED
REMITTED SECURITIES
METHOD
CERTIFICATE NO.
ISSUE NAME
C.U.S.I.P. #
DESCRIPTION
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