Form Ipnr-Ii A (E) - Addendum To Initial Report On Abandoned Or Unclaimed Money And Other Liquid Goods Page 2

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Form IPNR-II A (E) - ADDENDUM TO THE INITIAL REPORT ON ABANDONED OR UNCLAIMED MONEY OR OTHER LIQUID GOODS
AS OF JUNE 30 - INSTRUCTIONS
OBLIGATION TO REPORT:Pursuant to Act 36 of 1989, as amended, known as the “Abandoned or Unclaimed Money and Other Liquid Goods Act”, and Section 37(a)
of Act 55 of 1933, as amended, known as the “Banking Act”, requires financial institutions and other holders to report and remit to the Office of the Commissioner of
Financial Institutions (OCFI) of the Commonwealth of Puerto Rico money and other liquid goods unclaimed or presumed abandoned for a period of five (5) years
WHEN TO FILE: Holders shall file each year, before August 10, an Initial Report (Form IPNR-II (E)) at the close of business of the previous June 30 to inform the
unclaimed or presumed abandoned property held. This is a required attachment to said report. Not later than December 10 each year, holders are
required to file a Final Report (Form IPNR-IF (E)) and deliver the property to the OCFI. (Note: Holders not doing business in Puerto Rico are
required to only file the Final Report.)
COLUMN ENTRIES:
COLUMN (1):
Enter the identifying number. That is, the number of the: check, account, policy, certificate, etc.
COLUMM (2)
Please assign one of following codes to each item listed on the report:
ACCOUNT BALANCES DUE
IN03
BENEFICIARY PROCEEDS
SC06 FUNDS PD FOR SHARES
AC01
CHECKING ACCOUNTS
IN04
MATURE POLICY PROC
SC07 STOCK REDEMPTION
AC02
SAVINGS ACCOUNTS
IN05
PREMIUM REFUNDS
SC08 SHARES RET BY PO
AC03
MATURE CD SAVE CERT
IN06
UNIDENTIFIED REMIT
SC09 CASH/FRACTION SHARES
AC04
CHRISTMAS CLUB ACCT
IN07
OTHER INS PROCEEDS
SC10 UNEXCHANGED STOCK
AC05
SECURED FUND DEPOSIT
IN08
AGENT CREDIT BALANCE
SC11 OTHER OWNERSHIP CERT
AC06
SECURITY DEPOSIT
IN99
AGGREGATE INS PROCEEDS
SC12 UNDERLYING SHARES
MISCELLANEOUS
AC07
UNIDENTIFIED DEPOSIT
SC13 LIQUIDATION/REDEMPT
AC08
SUSPENSE ACCOUNTS
MS01
WAGES/PAYROLL/SALARY
SC14 DEBENTURES
AC09
DEMAND DEPOSITS
MS02
COMMISSIONS
SC15 U S GOVT SECURITIES
AC99
AGGREGATE CK. ACCOUNTS
MS03
WORKERS COMP BENEFIT
SC16 MUTUAL FUNDS
CHECKS
MS04
PYMNT FOR GOODS/SERV
SC17 WARRANTS
CK01
CASHIERS CHECKS
MS05
CUSTOMER OVERPAYMENT
SC18 MATURE BOND PRINCIPA
CK02
CERTIFIED CHECKS
MS06
UNIDENTIFIED REMITTANCES
SC19 DIVIDEND REINVESTMEN
CK03
REGISTERED CHECKS
MS07
UNREFUNDED OVERCHGES
SC20 CREDIT BALANCE
CK04
TREASURERS CHECKS
MS08
ACCOUNTS PAYABLE
SC99 AGGREGATE SECURITIES
CK05
DRAFTS
MS09
CREDIT BALANCE
CK06
WARRANTS
MS10
DISCOUNTS DUE
TRUST
CK07
MONEY ORDERS
MS11
REFUNDS DUE
TR01 PAYING AGENT ACCOUNT
CK08
TRAVELERS CHECKS
MS12
UNREDEEMED GIFT CERT
TR02 UNCASHED DIVIDENDS
CK09
FOREIGN EXCHANGE CKS
MS13
LOAN COLLATERAL
TR03 FIDUCIARY FUNDS HELD
CK10
EXPENSE CHECKS
MS14
PENSION/PROFIT SHARE
TR04 ESCROW ACCOUNTS
CK11
PENSION CHECKS
MS15
INVOLUNTARY LIQUIDAT
TR05 TRUST VOUCHERS
CK12
CREDIT CHECKS/MEMOS
MS16
OTHER OUTSTANDING CK
TR99 AGGREGATE TRUST
UTILITIES
CK13
VENDOR CHECKS
MS17
OTHER PERSONAL PROPE
CK14
INCOME OR SURPLUS CK
MS18
SUSPENSE LIABILITIES
UT01 UTILITY DEPOSITS
CK15
OTHER OFFICIAL CHECK
MS99
AGGREGATE MISC CHECKS
UT02 MEMBERSHIP FEES
SECURITIES
CK16
CD INTEREST CHECKS
UT03 REFUNDS OR REBATES
CK17
OTHER CHECKS
SC01
DIVIDENDS
UT04 CAPITAL CR. DISTRIBUTIONS
CK99
AGGREGATE UNCASHED
SC02
INTEREST
UT99 AGGREGATE UTILITIES
INSURANCE
SC03
PRINCIPAL PAYMENTS
OTHER PROPERTY
IN01
IND POLICY BENEFITS
SC04
EQUITY PAYMENTS
IN02
GROUP POLICY BENEFIT
SC05
PROFITS
ZZZZ UNIDENTIFIED PROPERTY / OTHER
COLUMN (3):
Enter the amount due owner. That is, the gross amount due to the owner. The OCFI will allocate the advertising expense related to the publication
of the public notices required by law from tenants doing business in Puerto Rico (and the only deduction authorized by law) once the Final Report and remittance are
received and accepted.
COLUMN (4):
Enter the date of last transaction, or date property became payable, redeemable, or returnable
COLUMN (5):
Enter the full name (i.e., surname(s), first, middle or initial) and last known address of each owner. If a single item has two or more owners, enter all
names and the address beneath them. When reporting certified or cashiers checks, list the name and address of the payee. Money orders and travelers checks require
only the identification number.
COLUMN (6):
Enter the owner’s social security number or taxpayer identification number.
IMPORTANT: All securities listed are to be liquidated by holder prior to remittance to the OCFI.

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