Government of the District
FORM UP2-A
Office of Finance and Treasury
Unclaimed Property Division
of Columbia
1101 4
th
Street, SW
SUMMARY SHEET OF REPORTED ITEMS
Suite 800W
Washington, DC 20024
HOLDER NAME:
TAX/EMPLOYER IDENTIFICATION NUMBER:
PROPERTY CODE
SUMMARY OF TYPES OF PROPERTY
NUMBERS OF OWNERS
PAGES
AMOUNT
(SEE BELOW)
FROM
TO
REMITTED
TOTAL NUMBERS OF OWNERS
TOTAL AMOUNT REPORTED AND REMITTED
ACCOUNT BALANCES
UNCASHED CHECKS
MINERAL PROCEEDS &
MISC. CHECKS & TANAGIBLE
SAFE DESPOIT BOXES &
AC01 Checking Accounts
CK01 Cashier’s Checks
MINERAL INTEREST
PERSONAL PROPERTY
SAFEKEPPING
AC02 Savings Accounts
CK02 Certified Checks
M101 Net Revenue Interest
MS01 Wages, Payroll, Salary
SD01 SD Box Contents
AC03 Matured CD or savings Certificates
CK03 Registered Checks
M102 Royalties
MS02 Commissions
SD02 Other Safekeeping
AC04 Christmas club Funds
CK04 Treasurer Checks
M103 Overriding Royalties
MS03 Worker’s Comp
SD03 Other Tangible
AC05 Money on Deposits to Secure Fund
CK05 Drafts
M104 Production Payments
MS04 Payments for Goods & Services
Property
AC06 Security Deposit
CK06 Warrants
M105 Working Interest
MS05 Customer Overpayments
AC07 Unidentified Deposits
CK07 Money Orders
M106 Bonuses
MS06 Unidentified Remittances
AC08 Suspense Accounts
CK08 Travelers Checks
M107 Delay Rentals
MS07 Unrefunded Overcharges
AC99 Aggregate Account Balances
CK09 Foreign Exchange Checks
M108 Shut-In Royalties
MS08 Account Payable
CK10 Expense Checks
M109 Minimum Royalties
MS09 Credit Balances- Acct Receivable
CK11 Pension Checks
M199 Aggregate Mineral Interest
MS10 Discounts Due
CK12 Credit Checks or Memos
MS11 Refunds Due
CK13 Vendor Checks
MS12 Unredeemed Gift Certificates
CK14 Checks Written Off to Income
MS13 Unclaimed Loan Collateral
CK15 Other Outstanding Official Checks
MS14 Pension & Profit Share Plans
CK16 CD Interest Checks
MS15 Dissolution or Liquidation
CK99 Aggregate Uncashed Checks
MS16 Misc Outstanding Checks
MS17 Misc. Intangible Property
MS18 Suspense Liabilities
MS99 Aggregate Misc. Property
Print Form