Unclaimed Property Detail Sheet

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UNCLAIMED PROPERTY DETAIL SHEET

If your report has 20 or fewer individual properties, please use the following detail sheet. List the full name of the owner (last name, first name, middle

initial) using no punctuation. If the owner is a corporation, list the company name completely using no abbreviations or punctuation. If the owner's name

is unknown, place the word “Unknown” in the last name field. Completely list the last known address including zip code.

Description

Account #

NAUPA Code

Relation Codes

Dollar Amount

Last Transaction Date

Name & Address, City Zip Code

SSN/FEIN

Form must be typed