Form Wup-3 - List Of Owners Of Unclaimed Stock And Other Securities

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STATE OF WYOMING
LIST OF OWNERS OF UNCLAIMED STOCK AND OTHER SECURITIES
FORM WUP-3
HOLDER (Name of Business) ______________________________________
FEIN: ___________________
Report Year: _______________________
Issue Name
Owner
Owner Name
Last Known Address
No. of
Date of Last
Description of Services
Property
Owner
And Certificate No.
Social Security No.,
Shares
Transaction
Type
Relation
Last
First
Middle
No. & Street/City/State/ZIP
This is a 2-line field - press
or
This is a 2-line field - press
Code
Type Code
nd
This is a 2-line field – press enter to go to 2
line
County
nd
nd
enter to go to 2
line
Federal Tax ID No.
enter to go to 2
line
nd
This is a 2-line field – press enter to go to 2
line
(4)
(9)
(1)
(3)
(5)
(6)
(7)
(8)
(2)
Updated 06.16

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