Holder Reporting Form - Nebraska State Treasurer

Download a blank fillable Holder Reporting Form - Nebraska State Treasurer 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 Holder Reporting Form - Nebraska State Treasurer 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

Holder Reporting Form
<<< THIS PAGE MUST BE INCLUDED WITH YOUR REPORT >>>
Company or Organization:
Address:
City:
State:
Zip:
Federal Tax ID#:
State of Incorporation:
Date of Incorporation:
Report for Period Ending:
Contact Person for Report:
Phone:
Fax:
Email:
What form will your report be remitted?
I submitted my report at https:// My report is enclosed on a CD
Previous Holder Information:
(Only applicable if there has been a name change, merger, etc.)
Name:
Address:
City:
State:
Zip:
Federal ID Number:
Date of Acquisition / Name Change:
Did you file a report of Unclaimed Property last year?
YES
NO
If yes, please provide amount and date remitted:
Amount
Date
If no, please explain:

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2