Report Of Unclaimed Property Form - Rhode Island Page 3

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SS#(9)
LAST NAME(20) OR COMPANY (40)
FIRST(20)
MI(1)
SUFFIX(4)
IN CARE OF (35) OR ADDRESS
ADDRESS(35)
OFFICE USE ONLY
CITY(30)
STATE(2)
ZIP (5-4)
COUNTRY(3)
PROPERTY TYPE CODE(4)
ADV
ACCOUNT/CHECK #(15)
LAST ACTIVITY DATE (2/2/2)
$AMOUNT (9.2)
NUMBER OF SECURITIES (9.3)
ENT
CO-OWNER'S LAST NAME(20)
FIRST(20)
MI (1)
SUFFIX(4)
AGG
SS#(9)
LAST NAME (20) OR COMPANY(40)
FIRST(20)
MI(1)
SUFFIX(4)
IN CARE OF(35) OR ADDRESS
ADDRESS(35)
OFFICE USE ONLY
CITY(30)
STATE(2)
ZIP (5-4)
COUNTRY(3)
PROPERTY TYPE CODE(4)
ADV
ACCOUNT/CHECK#(15)
LAST ACTIVITY DATE (2/2/2)
$AMOUNT (9.2)
NUMBER OF SECURITIES (9.3)
ENT
CO-OWNER'S LAST NAME(20)
FIRST (20)
MI (1)
SUFFIX(4)
AGG
SS#(9)
LAST NAME(20) OR COMPANY (40)
FIRST(20)
MI(1)
SUFFIX(4)
IN CARE OF(35) OR ADDRESS
ADDRESS(35)
OFFICE USE ONLY
CITY(30)
STATE(2)
ZIP (5-4)
COUNTRY(3)
PROPERTY TYPE CODE(4)
ADV
ACCOUNT/CHECK#(15)
LAST ACTIVITY DATE (2/2/2)
$AMOUNT (9.2)
NUMBER OF SECURITIES (9.3)
ENT
CO-OWNER'S LAST NAME(20)
FIRST (20)
MI (1)
SUFFIX(4)
AGG
SS#(9)
LAST NAME(20) OR COMPANY(40)
FIRST(20)
MI(1)
SUFFIX(4)
IN CARE OF(35) OR ADDRESS
ADDRESS(35)
OFFICE USE ONLY
CITY(30)
STATE(2)
ZIP (5-4)
COUNTRY(3)
PROPERTY TYPE CODE(4)
ADV
ACCOUNT/CHECK #(15)
LAST ACTIVITY DATE (2/2/2)
$AMOUNT(9.2)
NUMBER OF SECURITIES(9.3)
ENT
CO-OWNER'S LAST NAME(20)
FIRST (20)
MI (1)
SUFFIX(4)
AGG
SS#(9)
LAST NAME(20) OR COMPANY(40)
FIRST(20)
MI(1)
SUFFIX(4)
IN CARE OF (35) OR ADDRESS
ADDRESS(35)
OFFICE USE ONLY
CITY(30)
STATE(2)
ZIP (5-4)
COUNTRY(3)
PROPERTY TYPE CODE(4)
ADV
ACCOUNT/CHECK(15)
LAST ACTIVITY DATE (2/2/2)
$AMOUNT (9.2)
NUMBER OF SECURITIES (9.3)
ENT
CO-OWNER'S LAST NAME(20)
FIRST (20)
MI (1)
SUFFIX(3)
AGG
PAGE _____ OF _____
PAGE TOTAL $ _____________________
IF LAST PAGE, GRAND TOTAL $ _________________________

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