Form 496-Up - Report Of Unclaimed Property Verification And Checklist - 2010

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Form Number 496-UP
Revision 12/17/10
OKLAHOMA STATE TREASURER
UNCLAIMED PROPERTY DIVISION
REPORT OF UNCLAIMED PROPERTY
VERIFICATION AND CHECKLIST
Verification for Period Ended _______________, ______
Provide the name of the holder company reporting for the period indicated. List the prior name(s), FEI(s), or address(es) if the company has had a
change in these items during the time period in which it has held the property being reported.
Name ________________________________________________________
State of Incorporation______________________________________
_____________________________________________________________
Date of Incorporation _______________________________________
Address ______________________________________________________
Federal Employer ID#_______________________________________
_____________________________________________________________
Every person, corporation, or other business association, banking or financial organization, life insurance corporation, utility, court or public authority
must complete the following checklist before filing their Oklahoma Unclaimed Property Report. This checklist includes by way of illustration, but not
limitation, those items which are covered by Sections of the Oklahoma Unclaimed Property Law.
Please complete the checklist by indicating “Yes” or “No” by each item. Each item marked “Yes” must be enumerated on Unclaimed Property Form 497-
UP-2.
Property Type Codes and Abandonment Periods
Account Balances Due
Yes
No
Code
Description
Yr
Yes
No
Code
Description
Yr
___
___
ACO1
Checking Accounts
5
___
___
AC06
Security Deposits
5
___
___
ACO2
Savings Accounts
5
___
___
AC07
Unidentified Deposits
5
___
___
ACO3
Matured CD or Saving Certificate
5
___
___
AC08
Suspense Accounts
5
___
___
ACO4
Christmas Club Funds
5
___
___
AC99
Aggregate Account Balances
5
___
___
ACO5
Money on Deposit to Secure Fund
5
Uncashed Checks
___
___
CKO1
Cashier’s Checks
5
___
___
CK10
Expense Checks
5
___
___
CKO2
Certified Checks
5
___
___
CK11
Pension Checks
5
___
___
CKO3
Registered Checks
5
___
___
CK12
Credit Checks or Memos
5
___
___
CKO4
Treasurer’s Checks
5
___
___
CK13
Vendor Checks
5
___
___
CKO5
Drafts
5
___
___
CK14
Checks Written Off to Income
5
___
___
CKO6
Warrants
5
___
___
CK15
Other Outstanding Official Checks 5
___
___
CKO7
Money Orders
7
___
___
CK16
CD Interest Checks
5
___
___
CKO8
Traveler’s Checks
15
___
___
CK99
Aggregate Uncashed Checks
5
___
___
CKO9
Foreign Exchange Checks
5
Securities
___
___
SCO1
Dividends
3
___
___
SC13
Funds for Liquidation/Redemption 3
___
___
SCO2
Interest (Bond Coupons)
3
of Un-surrendered Stocks or Bonds
___
___
SCO3
Principal Payments
3
___
___
SC14
Debentures
3
___
___
SCO4
Equity Payments
3
___
___
SC15
US Government Securities
5
___
___
SCO5
Profits
3
___
___
SC16
Mutual Fund Shares
3
___
___
SCO6
Funds Paid to Purchase Shares
3
___
___
SC17
Warrants (Rights)
3
___
___
SCO7
Funds for Stocks and Bonds
3
___
___
SC18
Matured Bond Principal
3
___
___
SCO8
Shares of Stock Returned by Post Office
3
___
___
SC19
Dividend Reinvestment Plans
3
___
___
SCO9
Cash for Fractional Shares
3
___
___
SC20
Credit Balances
3
___
___
SC10
Un-exchanged Stock of Successor Corp
3
___
___
SC21
Common Stock
3
___
___
SC11
Other Certificates of Ownership
3
___
___
SC22
Convertible Securities
3
___
___
SC12
Underlying Shares or Other
3
___
___
SC23
Preferred Securities
3
Outstanding Certificates
___
___
SC24
Fixed Income Securities
3
___
___
SC25
Real Estate-Based Securities
3
Utilities
___
___
UTO1
Utility Deposits
1
___
___
UT04
Capital Credit Distribution
5
___
___
UTO2
Membership Fees
1
___
___
UT99
Aggregate Utility Property
1
___
___
UTO3
Refunds or Rebates
1
Miscellaneous Checks and Intangible Personal Property
___
___
MSO1
Wages, Payroll, and Salary
1
___
___
MS11
Refunds Due
5
___
___
MSO2
Commissions
1
___
___
MS12
Unredeemed Gift Certificates
5
___
___
MSO3
Worker’s Compensation Benefits
5
___
___
MS13
Unclaimed Loan Collateral
5
___
___
MSO4
Payment for Goods and Services
5
___
___
MS14
Pension & Profit Sharing Plans
7**
___
___
MSO5
Customer Overpayments
5
___
___
MS15
Dissolution or Liquidation
1
___
___
MSO6
Unidentified Remittances
5
___
___
MS16
Misc Outstanding Checks
5
___
___
MSO7
Un-refunded Overcharges
5
___
___
MS17
Misc Intangible
5
___
___
MSO8
Accounts Payable
5
___
___
MS18
Suspense Liabilities
5
___
___
MSO9
Credit Balance - Accounts Receivable
5
___
___
MS99
Aggregate Misc Property
5
___
___
MS10
Discounts Due
5

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