Form R-3002-L - Detailed Report Of Unclaimed Property - Up-2
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1Detailed Report of Unclaimed Property
R-3002-L (8/00)
Page
of
.
UP-2
State of Louisiana
This form may be reproduced.
Department of the Treasury
Unclaimed Property Division
File on or before November 1. If the due date falls on a weekend or
Post Office Box 91010
holiday, the report is due on the next business day and becomes
Baton Rouge, LA 70821-9010
delinquent on the first day thereafter.
(225) 219-9400
Your remittance is
Date of last
Deductions and
Property description
transaction or
withholdings
due with this report.
date property
Amount due
(See instructions.)
Holder’s
Owner’s last name, first name,
became payable,
owner before
Interest Bearing
identifying
street address, city, state, ZIP
Owner’s Social
redeemable, or
deductions and
Amount reported
Shares of Stock
Yes/No
Code
number
(List alphabetically by last name.)
Security Number
returnable
withholdings
Type
Amount
as due owner
Amount remitted
(8)
(1A)
(1B)
(2)
(3)
(4)
(5)
(6A)
(6B)
(7)
(9)
(10)
Totals this page
Signature of official
Title
If this is last page of
Signature required on grand total page only.
report, enter grand totals.
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