Form Up 8-7 - Business Report Of Unclaimed Property - 2014 Page 2

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
West Virginia State Treasurer
Business Report of Unclaimed Property
Form UP 8-7

FEIN/SSN:
ZIP CODE:
-
Additional Business Data as of Year End:
/
/
State of Incorporation
Incorporation Date:
:
Holder Type
(see instructions for listing of types)
Standard Industry Code (SIC):
Annual Sales/Premiums:
Assets Size:
Total Number Employees:
In West Virginia
Does this report include: (1) Branches and Divisions?
Yes
No
(2) All subsidiaries?
Yes
No
Please attach a Schedule of Subsidiaries
Are you reporting any STALE DATED STATE CHECKS that include Federal Funds?
If so, only report the amount of each check which does not constitute federal funds. Federal Funds are
required to be submitted on a separate report.
Regular Remittances:
Make check payable and deliver Form UP 8-7, and Form(s) UP 8-8 to:
Office of the West Virginia State Treasurer
Post Office Box 3328
Charleston, West Virginia 25333
1-800-642-8687
Tangible Remittances:
Deliver contents, Forms UP 8-7, UP 8-10 and inventory sheets to:
Office of the West Virginia State Treasurer
Attention: Safekeeping – Tangible Items
7300 MacCorkle Avenue South East
Charleston, West Virginia 25304

Revised 4/1/2014

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