Dfs-Up-121 - Annual Report Of Property Presumed Abandoned Form - State Of Florida Department Of Financial Services

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DFS-UP-121
STATE OF FLORIDA
FOR CASH ITEMS
ANNUAL REPORT OF PROPERTY PRESUMED ABANDONED
MAIL TO:
PURSUANT TO THE FLORIDA DISPOSITION OF UNCLAIMED PROPERTY
State of Florida
CHAPTER 717, FLORIDA STATUTES
Department of Financial Services
Bureau of Unclaimed Property
P O Box 1990
Covering UNCLAIMED ITEMS as of ___December 31, ______________
Tallahassee, FL 32302-1990
(850) 413-5522
Holder Number (From DFS-UP-111 Cover Sheet)____________________
Federal Tax Identification Number (FEID) __________________________
CASH
NAME and LAST KNOWN ADDRESS
SSN/FEID
PROPERTY
DATE
ACCOUNT/
AMOUNT
(Street, City & State) date of birth of owner(s) including
NUMBER OF
TYPE
OF LAST
CHECK
REPORTED
all joint/alternate owners,
OWNER
CODE
TRANS-
NUMBER
beneficiaries, and relationship
ACTION
LAST NAME FIRST
$_____________ PAGE TOTAL

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