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Arizona
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Holders Forms

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Arizona Unclaimed Property Unit

 

Forms to assist reporting unclaimed property. All forms can be viewed and saved using Adobe Reader software.

Forms

TITLE FORM NUMBER CATEGORY

Report of Abandoned Property

650A Unclaimed Property Forms

Report of Abandoned Securities 

650B Unclaimed Property Forms

Report of Safe Deposit Box Contents

650C Unclaimed Property Forms

Report of Abandoned Property Verification and Checklist 

650A Checklist Unclaimed Property Forms

Unclaimed Property Report Schedule A

652 Unclaimed Property Forms

Negative Report of Unclaimed Property

650D Unclaimed Property Forms

Holder Reimbursement Request Form

670 Unclaimed Property Forms

Disclosure /Representation Authorization Form - Reporting and Audit Issues

285 Unclaimed Property Forms

Disclosure /Representation Authorization Form - Claims and Reimbursement Issues

285UP Unclaimed Property Forms

Publications

TITLE PUBLICATION NUMBER CATEGORY

Unclaimed Property Publication 651

651 Unclaimed Property Forms

 

 

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Arizona
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Arizona Department of Revenue
(602) 255-3381
1600 West Monroe Street
Phoenix, AZ 85007
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