Form Up-2-Report Of Unclaimed Property Detail

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NEVADA STATE TREASURER • UNCLAIMED PROPERTY

REPORT OF UNCLAIMED PROPERTY DETAIL

List only information that assists in identifying the owners of the properties

Report Date __________________________

Holder Name ___________________________________________

Property

Identifying #

Cash

Date Last

SSN/FEIN/TIN

Owner’s Name (last, first, middle) Last Known

Security or

Number of

Type Code

Account # or CK #

Amount

Activity/Trans

Address

Mutual Fund

See page 31

(please circle one)

Remitted

mm/dd/yy

Name/CUSIP

remitted

TOTAL NUMBER OF SHARES REMITTED

GRAND TOTAL $

NUMBER OF ITEMS THIS PAGE

$ 0.00

The UP-2 form is for manually reporting ten or fewer properties only. Holders reporting 11 or more properties cannot use this form and must submit report in

NAUPA format utilizing a CD ROM, USB flash drive or utilize Online Holder Reporting.

To register for Online Holder Reporting access, go to:

https://nevadatreasurer.gov/upsreporting/.

UP-2 (Rev. 8/2014)