SOUTH CAROLINA OFFICE OF STATE TREASURER
UNCLAIMED PROPERTY PROGRAM
Remittance Information Form
HOLDER NAME
HOLDER FEIN
HOLDER CONTACT NAME
PHONE NUMBER
E-MAIL ADDRESS
Remittance amount $
Remittance method:
ACH Payment
Date_____________________Confirmation Number____________________________
Bank Wire
Date_____________________Confirmation Number____________________________
Company Check (Include a copy of this form with the check )
Date_____________________Check Number____________________________
For e-mailed reports, provide date and time report was e-mailed to
UPreports@sto.sc.gov
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