Form Up-2 - Summary Of Unclaimed Property
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1Nebraska State Treasurer’s Office Unclaimed Property Division
5800 Cornhusker Hwy, Bldg. 2 Ste. 4,
809 P Street
Lincoln, NE 68508-1390
Lincoln, NE 68507
FORM UP-2
Holder Name:
Summary of Unclaimed Property
File this copy with your remittance on November 1 (May 1 for Life Insurance)
Report Year:
Page ___ of ___
(Visit for free reporting software)
Property Description
Account,
Owner(s) Last Name,
Street Address, City,
Date of last
Amout Due
Social Security #
Date of Birth
(See UP-1 for codes)
Policy #, etc.
First Name, Middle Name
State & ZIP Code
owner activity
Owner
TOTAL
$0.00
FORM UP-2
Nebraska State Treasurer Shane Osborn | | 402.471.8497 | 5800 Cornhusker Hwy, Bldg. 2 Ste. 4, Lincoln, NE 68507
Nebraska State Treasurer Shane Osborn | | 402.471.8497 | 809 P Street, Lincoln, NE, 68508-1390
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Parent category: Financial