Form Vt Sto Upd 001 - Unclaimed Property Annual Compliance Report Page 2
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2Vermont State Treasurer's Office * Unclaimed Property Office
109 State Street, Montpelier, Vermont 05609-6200 * Phone: 802-828-2407 * Fax: 802-828-2884
UNCLAIMED PROPERTY
ANNUAL
COMPLIANCE REPORT
Verification Check List
Verification for the Period Ended: ________________
Holder Name: ________________________________
Every person, corporation or other business association, banking or financial organization, life insurance corporation, utility, court, or public
authority must complete the following check list before filing its Vermont Annual Report of Unclaimed Property. This checklist includes by
way of illustration, but not limitation, those items, which are covered by Chapter 14, Title 27 of the Vermont Statutes. All of the following
types of property, with the exception of travelers checks and money orders, must be reported if they have remained unclaimed for one or
more years. Travelers checks should be held fifteen (15) years and money orders seven (7) years. Please complete the checklist by checking
the box next to each applicable item. Each checked item must be accounted for on the detail of the Annual Report of Unclaimed Property.
ACCOUNT BALANCES
MISCELLANEOUS CHECKS AND INTANGIBLE PERSONAL
PROPERTY HELD IN THE ORIDINARY COURSE OF BUSINESS
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A. Checking accounts
A. Wages, payroll or salary
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B. Savings accounts
B. Commissions
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C. Matured certificates of deposit or savings certificates
C. Expense checks
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D. Worker’s Compensation benefits
D. Christmas Club accounts
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E. Money on deposit to secure funds
E. Pension checks
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F. Security deposits
F. Credit checks or memos
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G. Unidentified deposits
G. Payments for goods and services
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H. Suspense accounts
H. Customer overpayments
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I. Any sum owing to a shareholder, certificate holder, member,
I. Unidentified remittance
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bond holder or other security holder, or participating member
J. Unrefunded overcharges
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of a cooperative, such as:
K. Accounts payable
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1. dividends
L. Credit balances - accounts receivable
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2. interest
M. Discounts due
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3. principal payments
N. Refunds
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4. equity payments
O. Unredeemed gift certificates
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5. profits
P. Vendor checks
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6. other distributions
Q. Mineral proceeds
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J. Escrow funds
R. Royalties
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S. Any other miscellaneous outstanding checks
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TRUST, INVESTMENT AND ESCROW ACCOUNTS
T. Any checks that have been written off to income or surplus
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A. Paying agent accounts
U. Any other miscellaneous intangible personal property
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B. Unclaimed dividends
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C. Funds held in a fiduciary capacity
OFFICIAL CHECKS
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D. Funds paid toward the purchase of shares, or interest in a
A. Certified checks
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B. Cashier’s checks
financial or business organization
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E. Funds received for redemption of stocks and bonds
C. Registered checks
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D. Treasurer’s checks
F. Stocks
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G. Bonds
E. Drafts
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H. Any other certificates of ownership
F. Warrants
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I. Suspense liabilities
G. Money orders
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H. Travelers checks
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UTILITIES
I. Foreign exchange
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A. Utility deposits
J. Any other official checks or exchange items
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B. Membership fees
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C. Refunds or rebates
DISSOLUTIONS
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A. All property distributable in the course of voluntary or involuntary
dissolution or liquidation which is unclaimed within one year after
COURT DEPOSITS
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A. Escrow funds
the date for final distribution is presumed abandoned.
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B. Condemnation awards
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C. Missing heirs funds
INSURANCE
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D. Suspense accounts
A. Amounts due and payable under terms of insurance policies
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E. Victim’s restitution
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B. Claim payments
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F. Any other type of deposit made with a court or public
C. Drafts not presented for payment
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authority
D. Matured whole life, term or endowment insurance policies or
annuity or supplementary contracts
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TANGIBLE PROPERTY
E. Other amounts due under policy terms
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A. Contents of safe deposit boxes
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B. Contents of any other safekeeping repository
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C. Other tangible property
VT STO UPD 001 2013.12.10
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