Schedule B - Unclaimed Property Report - Vermont Unclaimed Property Division

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Vermont State Treasurer’s Office -- Unclaimed Property Division
109 State Street, Montpelier, Vermont 05609-6200
UNCLAIMED PROPERTY REPORT -
SCHEDULE B (Securities)
Holder Name ___________________________________
Holder FEIN ___________________ Report Date ____________________
Holder ID ______________________________________
For Year Ended _________________
Last Transaction
Owner’s Last Name, First Name,
or
Middle Name;
SSN/FEIN
Date Property
SECURITY NAME
CUSIP
NUMBER OF SHARES
Owner’s Last Known Street Address
Became Payable
City, State, Zip
or Distributable
to the Owner
1
2
3
4
5
6
7
8
Number of Properties ________________
Page Total # of Shares__________________

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