Form Up 8-8 - Owner Report Of Unclaimed Property - West Virginia - 2011
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1West Virginia State Treasurer
Owner Report of Unclaimed Property
Form UP 8-8 (Attach to UP 8-7)
FEIN/SSN:
-
Holder Name: _____________________________________________________________________________________
Item number
1. Property Type Code
:
2. Property Desc
: ___________________________
,
,
.
.
3. Cash Remitted
:
4. Interest Rate
:
.
/
/
ty:
5. Dormancy Charge:$
6. Date of Last Activi
-
-
/
/
:
:
7. Owner SSN
8. Date of Birth
9. Ownership
:
Primary Owner
And
Or
Other _________________________________________
10. Additional Owner Name Last, First, MI:______________________________________________________________
11. Address: ____________________________________________
12.City:______________________________
-
13. State
14. Zip Code
15. Additional Owner Name Last, First, MI:_______________________________________________________________
16 . Address: ____________________________________________
17. City: ______________________________
-
18. State
19. Zip Code
20. Additional Owner Name Last, First, MI: ______________________________________________________________
21. Address: _____________________________________________
22. City: ______________________________
-
23. State
24. Zip Code
Item number
1. Property Type Code
:
2. Property Desc
: ___________________________
,
,
.
.
:
:
3. Cash Remitted
4. Interest Rate
.
/
/
5. Dormancy Charge:$
6. Date of Last Activi
ty:
-
-
/
/
7. Owner SSN
:
8. Date of Birth
:
9. Ownership
:
Primary Owner
And
Or
Other _________________________________________
10. Additional Owner Name Last, First, MI:______________________________________________________________
11. Address: ____________________________________________
12.City:______________________________
-
13. State
14. Zip Code
15. Additional Owner Name Last, First, MI:_______________________________________________________________
16 . Address: ____________________________________________
17. City: ______________________________
-
18. State
19. Zip Code
20. Additional Owner Name Last, First, MI: ______________________________________________________________
21. Address: _____________________________________________
22. City: ______________________________
-
23. State
24. Zip Code
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Revised 6/6/2011
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