Form Up 8-10 - Safe Deposit Box, Safekeeping, Or Other Tangible Property
Download a blank fillable Form Up 8-10 - Safe Deposit Box, Safekeeping, Or Other Tangible Property in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Up 8-10 - Safe Deposit Box, Safekeeping, Or Other Tangible Property with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Page 1/2
West Virginia State Treasurer
Safe Deposit Box, Safekeeping, or Other Tangible Property
Form UP 8-10
FEIN:
-
Reporting Institution:
Box Number: ________
Property Type Code:
SD01 Contents of safe deposit boxes
SD02 Contents of any other safekeeping repository
SD03 Other Tangible Property
MS13 Unclaimed Loan Collateral
/
/
1. Date of Last Activity:
-
-
/
/
2. Owner SSN:
3. Date of Birth:
4. Ownership:
Primary Owner
Or
Other (SPECIFY)_____________________________________
5. Owner Name Last, First, MI:___________________________________________________________________
6. Address: __________________________ ___________ 7. City: ______________________________________
-
8. State
9. Zip Code
10. Additional Owner Name Last, First, MI:_________________________________________________________
11. Address: ___________________________________
12. City: _____________________________________
-
13. State
14. Zip Code
15. Additional Owner Name Last, First, MI:_________________________________________________________
16. Address: __________________________________
17. City: ______________________________________
-
18. State
19. Zip Code
Branch Location: _______________________
Date lease expired: ___________________________________
Inventoried by:
____________________________________ and _______________________________________
Amount due holder:
Does the holder have a valid agreement with the client
including the agreed upon rental fee and provisions that fees
will be held from the sale of property to cover delinquent box
Cost of Opening
_______________
rental?
Yes
No
Total Unpaid Rent
_______________
Reimbursement occurs if and when
Grand Total
contents are sold at public sale.
Deliver contents, inventory sheets, and Form UP 8-7 to:
Office of the West Virginia State Treasurer
Attention: Safekeeping – Tangible Items
7300 MacCorkle Avenue South East Charleston, WV 25304
Revised 8/01/2013
1-800-642-8687
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business