Form Cod/cd 919 - Maryland Unclaimed Property Report
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1Maryland
Comptroller of Maryland
Unclaimed Property
Unclaimed Property Unit
P.O. Box 17161
Report
Baltimore, Maryland 21297-1161
410-767-1700
Holder Name: ______________________________________________________ Holder Number: ________________________
For the year ended: ________________________________________________ Detail sheet number _________ of _______
Do not list accounts less than $100.00 on this sheet. Use Form COD/CD 918.
Social Security/
OWNER
Account
Property
Office Use Only
Account
Name and Address
FEIN Number
Number
Type
Owner Number
Amount
COD/CD 919 Rev. July 2007
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Parent category: Financial