Unclaimed Property Filing Extension Request - 2009

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State of Delaware
Unclaimed Property
Filing Extension Request
:
______________________________________________
Name of Firm
__-__________
Tax ID:
:
______________________________________________
Contact Name
:
(
) _____-_________
Fax (
) _____-___________
Phone Number
:
______________________________________________
Email
______________________________________________
Name of Holder (s)
Extension requests will only be considered when holder names and tax-id’s are listed on
this form.
:
__-_________
Holder FEIN
*
:
$_____________.___
Est. value of report
:
________________ days
Extension Request
:
Explanation
________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
________________________
In the past three years have you ever applied for an extension? YES______ NO______
*
-
Per 30 Del Code § 1159(d) Interest at ½ % per month on outstanding unpaid amounts shall accrue
from the date the amounts of property were due until paid. Interest due in accordance with this subsection
shall in no event exceed 50% of the amount required to be paid; provided, however, that penalties under
subsection (a), (b) or (c) of this section shall not be deemed to be interest for purposes of this subsection.
Bureau of Unclaimed Property
th
Division of Revenue - 8
Floor
Carvel State Office Building
820 North French Street
Wilmington, DE 19801
Phone: (302) 577-8220
Fax:
(302) 577-7179

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