Form Rpd-41202 - List Of Owners Of Unclaimed Property - 2014 Page 2

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INSTRUCTIONS FOR LIST OF OWNERS OF UNCLAIMED PROPERTY
RPD-41202
Rev. 2/4/2014
consecutively. The identification number is required for money orders and
This form is used to report individual cash and cash-related items of unclaimed property.
travelers checks.
Stocks, bonds and other securities are to be reported on Form RPD-41203, List of Own-
ers of Unclaimed Stocks and Other Securities. This form is to be completed and returned
(C) In the case of insured and beneficiary accounts, if a single item has two
with the other reporting forms, Form RPD-41201, New Mexico Report of Unclaimed
or more owners and the addresses are the same, list both the names and ad-
Property, and Form RPD-41204, List of Unclaimed Contents of Safe Deposit Boxes or
dresses in one block. If addresses are different, list in two separate blocks.
Other Safekeeping Repositories.
When listing in two separate blocks, show amount owned to first owner and
show $0 for second owner.
Items of unclaimed funds must be identified by the categories described on Form
RPD-41201. The exact Property Type Code and Description are to be used when com-
Column 2: Last Known Address: Enter last known address of the owner, beneficiary,
pleting this form.
payee or trustee as shown on your records, even though mail has been
returned from such address. If the address is unknown, enter “Unknown”.
HOLDER INFORMATION: Complete the holder information on the top of the form to
include: name, address, reporting year, period covered, Federal Tax ID Number, contact
Column 3: Social Security No. or Federal Tax ID No.: Enter Social Security Number
person, phone number and E-mail address.
of each owner of the funds or Federal Tax ID Number (if business).
PAGE NUMBER: Form RPD-41202 pages should be numbered consecutively (e.g., page
Column 4: Owner’s Acct. No., Certificate No., or Policy No.: Enter any identifying
1 of 24; 2 of 24) at the top of the form. Page totals are to be entered on each page and
numbers of the unclaimed funds submitted. For example, owner account
the grand total for column 7 should be entered on the last page.
numbers, check numbers, account certificates or insurance policy numbers.
AGGREGATE AMOUNT: Total of individual owner accounts having identifiable owner
Column 5: Date of Last Transaction: The “Date of Last Transaction” is that of the last
information with a value less than $50.00, must be report individually,
deposit or withdrawal made by the owner. The “date property became pay-
able, demandable, or distributable,” is, for example, the date a dividend be-
UNKNOWN ACCOUNTS: Total and list all unknown accounts where there is no identify-
came payable, the note became payable, the date a check or draft was issued.
ing owner information (e.g., no name, address, social security number or other identifying
If payable on demand, the date the instrument was issued should be used.
number) regardless of amount.
For savings certificates with an automatic rollover, use the date following
the first maturity. The date of computer conversion or crediting of interest
Column 1: Owner Name (list alphabetically): Enter owner’s last name, first name, middle
or dividends by the holder shall not be used as the date of last transaction.
name or initial. Use one block for each owner’s name. If there is joint owner-
ship of the securities, list both names within the same block. If owner name
Column 6: Relation Code: For each name listed, indicate Sole Owner - SO; Benefi-
is unavailable, enter “Unknown”.
ciary - BF; or Joint - JT.
(A) If a single item has two or more owners, the names and addresses of
Column 7: Amount (Principal + Dividend + Interest): The unclaimed amount includes
all must be shown along with the relationship (e.g., “Trustee”, “or”, “and”,
accrued interest, dividends, profit distribution, payment on principal or other
etc.). If the owners have the same address, the address may be entered one
sum held or owed to the owner less any lawful claims.
time next to the first name.
Column 8: Property Type Codes: Enter the proper type code corresponding to the de-
(B) When reporting certified or cashiers checks, use one block to list the
scription of funds as listed under Retention Period & Property Type Codes
names and addresses of both the remitter and the payee, specifying each. If
on page 11.
addresses of the remitter and payee are different, use two different blocks,

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