Form Ap-2 - Pennsylvania Department Of Treasury
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1Commonwealth of Pennsylvania
Unclaimed Property
P.O. Box 8500-53473
AP-2 Form
Philadelphia, PA 19178
Account or Check Number
Last Activity Date
Owner Name(s) and relationship code
Property code/description
Social Security No.
Owner's date of birth
(optional)
Amount due Owner
Street Address City State Zip Code
(if known)
1
2
3
4
5
6
Page ______ of ______
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Parent category: Legal