Upd 602 - Unclaimed Property Annual Remittance Detail Form
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1UNCLAIMED PROPERTY ANNUAL REMITTANCE DETAIL
HOLDER NAME
____________________________________________
UPD 602
Page __________ of ___________
Check One
Rel Code
Prefix
Last Name or Company: (circle one)
First
MI
Suffix
_____Single
Bldg., Room, Floor, Suite or Apt #
SS#
Cash Amount
_____Joint Owner
______ of ______
Street or RR / Box
Date of Birth
Interest / Dividend
(+)
PO Box / APO / Foreign Address
Country
Property Type Code
Service Charge
(-)
City
State
ZIP
Owner Account or Check #
Mailing Charge
(-)
Security Name
CUSIP #
Certificate/MF#
Stock Symbol
Transfer Date
# of Shares
Last Activity Date (Required)
AMOUNT REMITTED
(=)
Comments
Check One
Rel Code
Prefix
Last Name or Company: (circle one)
First
MI
Suffix
_____Single
Bldg., Room, Floor, Suite or Apt #
SS#
Cash Amount
_____Joint Owner
______ of ______
Street or RR / Box
Date of Birth
Interest / Dividend
(+)
PO Box / APO / Foreign Address
Country
Property Type Code
Service Charge
(-)
City
State
ZIP
Owner Account or Check #
Mailing Charge
(-)
Security Name
CUSIP #
Certificate/MF#
Stock Symbol
Transfer Date
# of Shares
Last Activity Date (Required)
AMOUNT REMITTED
(=)
Comments
Check One
Rel Code
Prefix
Last Name or Company: (circle one)
First
MI
Suffix
_____Single
Bldg., Room, Floor, Suite or Apt #
SS#
Cash Amount
_____Joint Owner
______ of ______
Street or RR / Box
Date of Birth
Interest / Dividend
(+)
PO Box / APO / Foreign Address
Country
Property Type Code
Service Charge
(-)
City
State
ZIP
Owner Account or Check #
Mailing Charge
(-)
Security Name
CUSIP #
Certificate/MF#
Stock Symbol
Transfer Date
# of Shares
Last Activity Date (Required)
AMOUNT REMITTED
(=)
Comments
UPD 602 rev 7/2008
Reset
Print
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