Unclaimed Property Reporting Booklet and Instructions |
| (26 pages, 1,631KB, revised March 2008) |
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This twenty-six page document includes instructions for preparing and filing tangible and intangible unclaimed property reports. |
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| Report of Abandoned and Unclaimed Property Verification and Checklist (AP-1) |
| (2 pages, 34KB, revised April 2008) |
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This two page form (including a checklist for specifically identifying the property you are reporting) is required for all reporting methods of unclaimed property. This form should be filed with the Pennsylvania Treasury Department no later than April 15 of each year.
You may type directly into the form, print, and mail it or send an electronic copy via e-mail to unclholders@patreasury.org.
If you send an electronic copy, the signature requirement is waived. |
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| Negative Reporting (No Unclaimed Property to Report) |
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Even if you have no unclaimed property to report, or if your company ceased operation this year, you must still file the Verification and Check List form (AP-1) and complete the information requested by the reporting deadline of April 15th to maintain an active reporting history. See the paragraph above for information on the AP-1 form.
You may type directly into the form, print, and mail it or send an electronic copy via e-mail to unclholders@patreasury.org.
If you send an electronic copy, the signature requirement is waived. |
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Negative Reporting Exemptions: |
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The Treasury Department exempts the following entities from filing annual negative reports if they have no reportable unclaimed property:
• Estates
• Trusts
• Sole Proprietorships
• 501 C3 Status non-profit organizations |
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| Report of Abandoned and Unclaimed Property (AP-2) |
| (1 page, 24KB, revised April 2008) |
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The AP-2 is a ten-page form to report all Intangible Unclaimed Property. This form should be filed with the Pennsylvania Treasury Department, along with Form AP-1, and accompany the payment of property by April 15 of each year.
You may type directly into the form, print, and mail it or send an electronic copy via e-mail to unclholders@patreasury.org. |
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| Summary Sheet of Reported Items (AP-3) |
| (1 page, 23KB, revised April 2008) |
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This one-page form to summarize the property you are reporting and the amounts you are remitting must be filed with the Pennsylvania Treasury Department, along with Form AP-1, no later than April 15 of each year.
You may type directly into the form, print, and mail it or send an electronic copy via e-mail to unclholders@patreasury.org. |
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| Summary Sheet of Aggregates (AP-4) |
| (1 page, 20KB, revised April 2008) |
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This one-page form to itemize the property valued at under $50 must to be filed with Treasury, along with Form AP-1, no later than April 15 of each year.
You may type directly into the form, print, and mail it or send an electronic copy via e-mail to unclholders@patreasury.org. |
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| Holder Request for Reimbursement (AP-5) |
| Instructions for Holder Request for Reimbursement (AP-5 Instructions) |
| (2 page, 14KB, revised April 2008) |
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This three-page form (plus a one-page instruction sheet) is for completion by holders seeking reimbursement from the Pennsylvania Treasury Department for funds turned over to Treasury, but for which the rightful owner (or owner's representative) has since submitted a claim.
You may type into the form, print, and mail it ONLY. Treasury will not accept this form electronically.
The notarized statement on page three must be completed before Treasury will process the request for reimbursement and make payment. |
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| Unclaimed Property Tangible Assets Inventory List (TUP-40) |
| (1 page, 23KB, revised April 2008) |
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This one-page form (which may be copied if additional space is needed) is used to report all Tangible Unclaimed Property such as the contents of safe deposit boxes.
You may type directly into the form, print, and mail it or send an electronic copy via e-mail to unclholders@patreasury.org.
If you send an electronic copy, the signature requirement is waived. |
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| Due Diligence Verification Form A |
| (1 page, 23KB, revised April 2008) |
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*For holders who are not holders of securities (transfer agents)
This verification form should be completed by holders stating what, if any, due diligence has been performed on non securities property, and returned with your unclaimed property holder report.
You may type directly into the form, print, and mail it or send an electronic copy via e-mail to unclholders@patreasury.org.
If you send an electronic copy, the signature requirement is waived. |
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| Due Diligence Verification Form B |
| (1 page, 23KB, revised April 2008) |
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*For holders of securities (transfer agents) only
This verification form should be completed by holders to verify that SEC Due Diligence
regulations have been met for all securities property and returned with your unclaimed
property holder report.
You may type directly into the form, print, and mail it or send an electronic copy via e-mail to unclholders@patreasury.org.
If you send an electronic copy, the signature requirement is waived. |
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| Pennsylvania Dormancy Matrix |
| (1 page, 46K, revised December 2006) |
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This one-page document includes examples of properties and corresponding dormancy periods. |
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| Dormancy Matrix for all 50 states |
| (1 page, revised March 2007) |
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This one-page document includes examples of properties and corresponding dormancy periods for all 50 states, including PA |
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| State & County Codes |
| (1 page, 34KB, revised December 2006) |
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This one-page listing includes state abbreviations and numeric county codes for use when reporting unclaimed property. |
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| NAUPA Standard Reporting Codes - this is a link to another Web site |
| (including ownership, relationship and property codes) |
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The codes are provided in the appendices of the NAUPA Standard Electronic File Format publication. |
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