Form Wup-1 - Report Of Unclaimed Property - Verification And Checklist Page 3
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5WUP-1 - 05/13
WUP-WEB
HEALTH SAVINGS PLANS
PROCEEDS FROM MINERAL INTERESTS
Property Type – HS
Property Type – MI
HS01.
Health Savings Account (5)
MI01.
Net revenue interests (3)
HS02.
Health Savings Account Investment (5)
MI02.
Royalties (3)
HS03.
(Code reserved for future HSA use.)
MI03.
Overriding royalties (3)
MI04.
Production payments (3)
MI05.
Working interests (3)
*INSURANCE
MI06.
Bonuses (3)
Property Type – IN
MI07.
Delay rentals (3)
MI08.
Shut-in royalties (3)
IN01.
Individual policy benefits or claim
MI09.
Minimum royalties (3)
payments (5)
IN02.
Group policy benefits or claim payments (5)
IN03.
Death benefits due beneficiaries (5)
MISCELLANEOUS CHECKS AND
IN04.
Proceeds from matured whole life, term or
INTANGIBLE PERSONAL PROPERTY HELD
endowment policies, or annuities or
IN THE ORDINARY COURSE OF BUSINESS
supplementary contracts (5)
Property Type – MS
IN05.
Premium refunds on individual policies (5)
IN06.
Unidentified remittances (5)
MS01. Wages, payroll or salary (1)
IN07.
Other amounts due under policy terms (5)
MS02. Commissions (5)
IN08.
Agent credit balances (5)
MS03. Worker’s compensation benefits (5)
IN99.
Aggregate insurance property less than
MS04. Payment for goods and services (5)
$50 (5)
MS05. Customer overpayments (5)
MS06. Unidentified remittances (5)
MS07. Unrefunded overcharges (5)
MS08. Accounts payable (5)
IRA
Traditional IRA, SEP IRA, SARSEP IRA, and
MS09. Credit balances/accounts receivable (5)
Simple IRA
MS10. Discounts due (5)
MS11. Refunds or rebates due (5)
Property Type – IR
MS12. Unredeemed gift certificates/credit
IR01.
Cash (5)
memos (3)
IR02.
Mutual Funds (5)
MS13. Unclaimed loan collateral (5)
IR03.
Securities (5)
MS14. Sums payable under pension and profit
sharing plans (IRA, KEOGH, e.g.) (*)
IR04.
(Code reserved for future Traditional IRA,
SEP IRA, SARSEP IRA, and Simple IRA
MS15. Property distributable in the course of
use.)
involuntary dissolution or liquidation
(6 months)
MS16. Any other miscellaneous outstanding
checks (5)
ROTH IRA
MS17. Any other miscellaneous intangible personal
IR05.
Cash (5)
property (5)
IR06.
Mutual Funds (5)
MS18. Suspense liabilities (5)
IR07.
Securities (5)
MS19. Unclaimed pari-mutuel tickets (5)
MS20. Expense checks (5)
IR08.
(Code reserved for future Roth IRA use.)
MS21. Product credits (5)
MS99. Aggregate miscellaneous property less than
IRA – OTHER
$50 (5)
IR09.
(Code reserved for future IRA-Other use.)
IR10.
(Code reserved for future IRA-Other use.)
SECURITIES
Property Type – SC
SC01.
Dividends (3)
SC02.
Interest payable on registered bonds (3)
SC03.
Principal payments (3)
*See “Securities” for demutualization proceeds.
*MS14 – Refer to Wyoming Statute 34-24-112.
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