INSTRUCTIONS FOR COMPLETING
REPORT OF UNCLAIMED PROPERTY
Use the following item by item instructions to complete this
payable, the date a check or draft was issued, the date a
form.
gift certificate was purchased, etc. If payable on demand,
the date the instrument was issued should be used. If the
WHEN TO REPORT: This form is used to report and remit
item is a savings certificate, use the initial date of maturity
individual items of unclaimed property. The report is to be
when determining abandonment notwithstanding that the
completed and mailed with the Verification Summary for
instrument has an automatic rollover provision.
Unclaimed Property FORM before November 1, May 1 for
Life insurers.
COLUMN 7: The total amount or value due owner is the
amount of cash due the owner of the item, including all
All amounts must be paid to the South Dakota
interest earned on deposits through June 30 (December 31
Unclaimed Property Division at the time of filing the
for life insurance companies) of the reporting year and
report.
without deducting any service charges.
HOLDER: Enter the holder's name and address exactly as
it appears (after corrections, if any) on the Verification
Summary.
HOLDER NUMBER: Enter the South Dakota unclaimed
property holder number assigned to you. Use this number
on all related correspondence. Enter Federal Taxpayer
Identification number.
REPORT YEAR: Enter the year for which the report is
being filed.
PERIOD COVERED: Enter the period covered that you
examined your records for unclaimed property. For
example, in a normal reporting Cycle, if a report was filed
the previous year, this will be the one -year period ending
five years before June 30 of this year.
COLUMN ENTRIES: Items of unclaimed property should
be grouped by category (e.g. payroll checks, unidentified
remittances, etc.) and property type code from Verification
Summary FORM.
COLUMN 1 PROPERTY DESCRIPTION: Enter the
appropriate Property Type Code.
COLUMN 2: Enter the identifying number of each item
(check number, account number, etc.).
Note, however that items under $50.00 for the same
property type code may be reported on the first page in one
aggregate amount (e.g. 32 vendor checks, each under
$50.00 — $155.64). Additionally, all items for which the
name of the apparent owner is unknown should be reported
on the first page(s).
COLUMNS 3 and 4: Enter the full name (last name first),
and last known address of each owner.
a) List last name, full first name and full middle name, if
available. Be sure to include information which would
aid in identification such as Jr., Sr., Miss, Mrs., etc.,
after the middle name (e.g. Smith, Jane Ann, Mrs.).
b) Corporate titles and the like should be entered exactly
as adopted except that the word "The" should be
omitted when it is the first word in the title.
c) List the complete address, including the zip code. If no
address is available, insert "address unknown."
d) If a single item has two or more owners, the names
and addresses of both must be shown along with the
relationship (e.g. "trustee for", "or", "and", etc.). If all
owners have the same address, the address may be
entered once.
e) When reporting certified or cashiers checks, list the
name and address of payee and remitter identify each
name as payee or remitter if known. In the case of
money orders and travelers checks, enter the
identification number and for name enter "money
order" or "travelers check."
f) If your records do not show any owner name for any
item, please enter the property description as the
name (e.g. for gift certificate enter "gift certificate").
Verification Summary provides examples of category
descriptions. Be sure to enter the identification number
in column 2. If no identification numbers are available,
report the property as known if $50.00 or more and
include any available identifying information.
COLUMN 5: Enter the owner's social security number.
COLUMN 6: The "date of last transaction" is that of the last
deposit or withdrawal made by the owner. The "date
property became payable, redeemable, or returnable" is the
date a dividend became payable, the date a note became