Form Tr-0412 - Self-Examination Questionnaire Page 5

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4. What procedures does the company use to identify credit memos or accounts receivable
credit balances that have been outstanding for five years?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
GIFT CERTIFICATES / GIFT CARDS
1. Does the company issue gift certificates, traveler’s checks, money orders, etc.?
Yes
No
2. Are any of these certificates issued for promotional purposes rather than sold?
Yes
No
3. How does the company distinguish between gift certificates sold and promotional
certificates?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
4. What records are kept for unpresented gift certificates?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
5. Are gift cards issued?
Yes
No
6. Can gift card balances be renewed or increased?
Yes
No
7. Is a service charge applied to inactive gift cards?
Yes
No
8. Is a fee charged for inactivity?
Yes
No
SERVICE CHARGES
1. Are service charges or abandonment fees assessed on any class of unclaimed property?
Yes
No
2. If yes, under what agreement(s)?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
OBLIGATION TO REPORT DIRECTLY
1. Are you aware of your obligation to report directly to the State of Tennessee?
Yes
No
2. Are you aware that you may be charged third party costs paid by Tennessee?
Yes
No
(5)
TR-0412
RDA 2128

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