Form Up-2 - Detail Report Of Unclaimed Property
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1IDAHO STATE TAX COMMISSION
UNCLAIMED PROPERTY PROGRAM
•
800 Park Blvd., Plaza IV
•
P.O. Box 70012
•
Boise, Idaho 83707-0112
•
(208) 334-7623
•
Fax (208) 334-5366
Form UP-2
EFO00073
(Hearing Impaired TDD) (800) 377-3529
• tax.idaho.gov •
Equal Opportunity Employer
01-03-07
Page
Of
DETAIL REPORT OF UNCLAIMED PROPERTY
Business Name:
Employer Identification Number (EIN)
Owner's Name (Last Name, First Name, MI.), Address, City,
Account Number
Number of
State and Zip Code. (If there is more than one owner specify
or
Property
Date of Last
Amount Being
Interest
Owner's Social
Shares Being
the relationship to the primary owner i.e.
Check Number
Code
Transaction
Remitted
Rate
Security Number
Remitted
beneficiary, trustee, etc.)
(1)
(2)
(3)
(4)
(5)
(7)
(6)
(8)
TOTAL PROPERTIES REMITTED
TOTAL SHARES REMITTED
TOTAL DOLLARS REMITTED
PAGE TOTAL
GRAND TOTAL
If this is the last page, please enter Grand Total.
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Parent category: Financial