Form Rpd-41202 - List Of Owners Of Unclaimed Property Page 2
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1
2RPD-41202
INSTRUCTIONS FOR LIST OF OWNERS OF UNCLAIMED PROPERTY
Rev. 03/2011
(C) In the case of insured and beneficiary accounts, if a single item has two
This form is used to report individual cash and cash-related items of unclaimed property.
Stocks, bonds and other securities are to be reported on the List of Owners of Unclaimed
or more owners and the addresses are the same, list both the names and ad-
Stocks and Other Securities, Form RPD-41203. This form is to be completed and re-
dresses in one block. If addresses are different, list in two separate blocks.
When listing in two separate blocks, show amount owned to first owner and
turned with the other reporting forms, New Mexico Report of Unclaimed Property, Form
RPD-41201, and Annual Report of Unclaimed Contents of Safe Deposit Boxes or Other
show $0 for second owner.
Safekeeping Repositories, Form RPD-41204.
Column 2: Last Known Address: Enter last known address of the owner, beneficiary,
Items of unclaimed funds must be identified by the categories described on Form RPD-
payee or trustee as shown on your records, even though mail has been
41201. The exact Property Type Code and Description are to be used when completing
returned from such address. If the address is unknown, enter “Unknown”.
this form.
Column 3: Social Security No. or Federal Tax ID No.: Enter Social Security Number
HOLDER INFORMATION: Complete the holder information on the top of the form to
of each owner of the funds or Federal Tax ID Number (if business).
include: name, address, reporting year, period covered, Federal Tax ID Number, contact
Column 4: Owner’s Acct. No., Certificate No., or Policy No.: Enter any identifying
person, phone number and E-mail address.
numbers of the unclaimed funds submitted. For example, owner account
numbers, check numbers, account certificates or insurance policy numbers.
PAGE NUMBER: Form RPD-41202 pages should be numbered consecutively (e.g., page
1 of 24; 2 of 24) at the top of the form. Page totals are to be entered on each page and
the grand total for column 7 should be entered on the last page.
Column 5: Date of Last Transaction: The “Date of Last Transaction” is that of the last
deposit or withdrawal made by the owner. The “date property became pay-
AGGREGATE AMOUNT: Total of individual owner accounts having identifiable owner
able, demandable, or distributable,” is, for example, the date a dividend be-
information with a value less than $50.00, must be report individually,
came payable, the note became payable, the date a check or draft was issued.
If payable on demand, the date the instrument was issued should be used.
For savings certificates with an automatic rollover, use the date following
UNKNOWN ACCOUNTS: Total and list all unknown accounts where there is no identify-
the first maturity. The date of computer conversion or crediting of interest
ing owner information (e.g., no name, address, social security number or other identifying
number) regardless of amount.
or dividends by the holder shall not be used as the date of last transaction.
Column 1: Owner Name (list alphabetically): Enter owner’s last name, first name, middle
Column 6: Relation Code: For each name listed, indicate Sole Owner - SO; Benefi-
name or initial. Use one block for each owner’s name. If there is joint owner-
ciary - BF; or Joint - JT.
ship of the securities, list both names within the same block. If owner name
is unavailable, enter “Unknown”.
Column 7: Amount (Principal + Dividend + Interest): The unclaimed amount includes
accrued interest, dividends, profit distribution, payment on principal or other
(A) If a single item has two or more owners, the names and addresses of
sum held or owed to the owner less any lawful claims.
all must be shown along with the relationship (e.g., “Trustee”, “or”, “and”,
etc.). If the owners have the same address, the address may be entered one
Column 8: Property Type Codes: Enter the proper type code corresponding to the de-
time next to the first name.
scription of funds as listed under Retention Period & Property Type Codes
(B) When reporting certified or cashiers checks, use one block to list the
on the back of Form RPD-41201.
names and addresses of both the remitter and the payee, specifying each. If
addresses of the remitter and payee are different, use two different blocks,
consecutively. The identification number is required for money orders and
travelers checks.
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