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Unclaimed Property Reporting Booklet - Washington State Digital ...

Unclaimed Property Reporting Booklet - Washington State Digital ...

Instructions for

Instructions for CompletingSafe Deposit Box ReportForm (Rev 80 0002-1)When to report: This form is used to reportsafe deposit box contents only. It should becompleted and mailed by November 1 with theSummary Report REV 80 0004-1. Send this reportand a copy of the Summary Report separately fromyour regular report.You may submit the owner names and addresseselectronically using the HRS-Pro format. However,our system currently cannot accept the inventorydetail in that format.When to remit: DO NOT send safe depositbox contents with the November report. TheDepartment will notify you in writing of thedelivery date and instructions on the method ofshipment. All boxes are to be sent in their entirety.All coins and cash must be sent intact. Bank checksubstitutions for cash or coins are not permitted.Please type or legibly print your report.a. Holder: Enter the holder’s name andaddress exactly as it appears (aftercorrections, if any) on the SummaryReport for Unclaimed Property.b. Holder number: Enter the WashingtonState Unclaimed Property holder numberassigned to you, if known. Use thisnumber on all related correspondence.c. Report year: Enter the year for which thereport is being filed.d. Period covered: Enter the period coveredfor this report.Page: Enter the page number of the report(for example, 1 of 2).Note: all shaded areas are forDepartment use onlyItem 1: Enter the owner’s safe deposit boxnumber or safekeeping area where contents wereheld (vault, property room, etc. ).Item 2: Enter the owner(s) full name(last name first).a. List last name, full first name and full middlename, if available, on the appropriate lines.Be sure to include information which wouldhelp in identification such as Jr. , Sr. , Miss, Mrs. ,etc. , after the middle name (for example,Smith, Jane Ann, Mrs. ).b. Corporate titles should be entered exactlyas adopted except that the word “the” shouldbe omitted when it is the first word in the title.c. If a single safe deposit box has two owners,the names of both owners must be shownalong with the relationship (for example,“trustee for,” “or,” “and” etc.).Item 3: Enter the owner(s) social securitynumber. If there is more than one owner, includeall social security numbers that are available.Item 4: Enter the last known address of theowner. If a single safe deposit box has two or moreowners, the addresses of both must be shown. If allowners have the same address, the address may beentered once.Item 5: Enter the date the safe deposit box rentalperiod expired, or in the case of safe keepingitems, the date of the last positive contact withthe owner.Item 6: Enter the name of the bank branchlocation where property was held. List thecomplete address including the zip code.Unclaimed Property Reporting Booklet 19

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