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Warning: To protect against the possibility of others accessing your confidential information, do not complete these forms on a public workstation.

Correction to Unclaimed Property Reporting Dates

The September Tax Facts newsletter incorrectly listed unclaimed reporting periods for uncashed payroll checks and patient safekeeping. The correct reporting periods are:


  • Uncashed payroll checks – one year
  • Patient safekeeping – five years

We apologize for any inconvenience.


Aggregate and Unknown Owner Report for Unclaimed Property

Affidavit of Successor  (Fill-In)

Business Affidavit  (Fill-In)

Certificate of Holder   (Fill-In)

Detail Report for Unclaimed Property   (Fill-In)

Negative Report for Unclaimed Property   (Fill-In) Note: Instructions included on the form.

Report of Unclaimed Safe Deposit Box Contents   (Fill-In)

Small Estate Affidavit for Nonresident Decedents (Fill-In)

Summary Report for Unclaimed Property   (Fill-In)

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