Form Ucm-1 - Report Of Property Presumed Unclaimed Trust For Unlocatable Mineral Owners - Department Of Revenue, State Of Montana Page 2

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MONTANA
UCM-1
Report of Property Presumed Unclaimed
Trust for Unlocatable Mineral Owners
Section II:
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
NAUPA
Date of last
Amount due
Owner’s social
Owner’s name:
Last known mailing address:
property
transaction/
to the
security number
list alphabetically by
street, city, state, zip code
type
date
owner
or federal
last name, fi rst name,
code
payable
identifi cation
middle initial
number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Amount remitted
$
2

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