Form Dfs-Up-121 - Annual Report Of Property Presumed Abandoned Not Reportable In Aggregate

ADVERTISEMENT

DFS-UP-121
STATE OF FLORIDA
ANNUAL REPORT OF PROPERTY PRESUMED ABANDONED
FOR CASH ITEMS
NOT REPORTABLE IN AGGREGATE
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 6350
Covering UNCLAIMED ITEMS as of ___December 31, _______________
Tallahassee, FL 32314-6350
(850)413-5522
UPID Number (From DFS-UP-111 Cover Sheet)____________________
Federal Tax Identification Number (FEIN) __________________________
CASH
NAME and LAST KNOWN ADDRESS
SSN/FEIN OF
PROPERTY
DATE
IDENTIFYING
AMOUNT
(Street, City & State) date of birth of owner(s) including
OWNER
TYPE
OF LAST
NUMBER
REPORTED
all joint/alternate owners,
CODE
TRANS-
beneficiaries, and relationship
ACTION
LAST NAME FIRST
$_____________ PAGE TOTAL
Effective Date 2-12-97
Rule 69I-20.034, F.A.C.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go