Form Ap-2 - Report Of Unclaimed Property

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Commonwealth of Pennsylvania
Unclaimed Property
PO Box 783473
AP-2 Form
Philadelphia, PA 19178-3473
Account or Check Number
Last Activity Date
Owner Name(s) and relationship code
Property code/description
Social Security No.
Owner's date of birth 
 (optional)
Amount due Owner
Street Address              City           State             Zip Code
(if known)
1
2
3
4
5
6
Page ______  of  ______

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