Ac 2686 Form PDF Details

The AC 2686 form is required by the New York Office of the State Comptroller. Organizations must file it when they hold unclaimed property belonging to New York residents. This includes dormant bank accounts, uncashed checks, forgotten securities, and other abandoned assets.

Each entry documents the owner's name and last known address, the property type, property ID number, initial amount, and escheated amount. For securities, the form also requires the CUSIP number and the method of transfer. The form includes columns indicating whether property was removed from the report, partially claimed, or fully claimed by the owner.

Businesses operating across multiple states may also need to report unclaimed property in other jurisdictions. Related forms include the Illinois Unclaimed Property Report and the New Jersey Unclaimed Property Form.

QuestionAnswer
Form NameAc 2686 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfillable ac 2686, nys form ac 2686, fillable ac2686, ac 2686 form

Form Preview Example

AC 2686 (1/02) STATE OF NEW YORK – OFFICE OF THE STATE COMPTROLLER – REPORT OF ABANDONED PROPERTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page _______ of _______

Do Not Write in This Area

Rec

Name of Reporting Organization

 

 

Address of Reporting Organization

 

 

 

 

City

 

State

Zip

 

 

For The Period Ending

OUF USE ONLY

No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

, 20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Owner Last Name (20)

 

 

First Name (10)

 

 

 

 

M.I.

 

Suffix (3)

 

Account Title (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Address 1 (30)

 

 

 

 

Owner Address 2 (30)

 

 

 

Owner City (20)

 

 

State (2)

 

Zip (9)

 

 

 

Country if Not USA

Lot No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Soc. Sec. No./Empl. ID No.

Property Type (2)

Property ID Number (20)

 

 

Date (MMDDYY)

Initial Amount

Escheated Amount

Removal Indicator

(If

Applicable, Enter “P” or

“R”)

 

Multiple

Owners

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P

 

 

Otherwise

R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reg.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

 

Owner Claimed

 

 

Reduced to Zero

 

 

 

Yes

 

 

 

 

 

 

Description of Security (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSIP Number of Security

 

No. of Shares or Denomination

Method of Transfer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Last Name (20)

 

First Name (10)

 

 

 

 

M.I.

Suffix (3)

 

Account Title (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Address 1 (30)

 

 

 

 

Owner Address 2 (30)

 

 

 

Owner City (20)

 

 

State (2)

Zip (9)

 

 

 

Country if Not USA

Lot No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Soc. Sec. No./Empl. ID No.

Property Type (2)

Property ID Number (20)

 

Date (MMDDYY)

Initial Amount

Escheated Amount

Removal Indicator

(If

Applicable, Enter “P” or “R”)

Multiple Owners

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P

 

 

Otherwise

R

 

 

 

 

 

 

 

 

 

Reg.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

 

Owner Claimed

 

 

 

Reduced to Zero

 

 

 

Yes

 

 

 

 

 

 

Description of Security (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSIP Number of Security

 

No. of Shares or Denomination

Method of Transfer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Last Name (20)

 

First Name (10)

 

 

 

 

M.I.

Suffix (3)

 

Account Title (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Address 1 (30)

 

 

 

 

Owner Address 2 (30)

 

 

 

Owner City (20)

 

 

State (2)

Zip (9)

 

 

 

Country if Not USA

Lot No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Soc. Sec. No./Empl. ID No.

Property Type (2)

Property ID Number (20)

 

 

Date (MMDDYY)

Initial Amount

Escheated Amount

Removal Indicator (If Applicable, Enter “P” or “R” )

Multiple Owners

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P

 

 

Otherwise

R

 

 

 

 

 

 

 

 

 

Reg.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

 

Owner Claimed

 

 

Reduced to Zero

 

 

 

Yes

 

 

 

 

 

 

Description of Security (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSIP Number of Security

 

No. of Shares or Denomination

Method of Transfer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Last Name (20)

 

 

First Name (10)

 

 

 

 

M.I.

Suffix (3)

 

Account Title (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Address 1 (30)

 

 

 

 

 

Owner Address 2 (30)

 

 

 

Owner City (20)

 

 

 

State (2)

 

Zip (9)

 

 

 

Country if Not USA

Lot No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Soc. Sec. No./Empl. ID No.

Property Type (2)

Property ID Number (20)

 

 

Date (MMDDYY)

Initial Amount

Escheated Amount

Removal Indicator (If Applicable, Enter “P” or “R”)

Multiple Owners

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P

 

 

Otherwise

R

 

 

 

 

 

 

 

 

 

Reg.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

 

Owner Claimed

 

 

Reduced to Zero

 

 

 

Yes

 

 

 

 

 

 

Description of Security (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSIP Number of Security

 

No. of Shares or Denomination

Method of Transfer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Last Name (20)

 

 

First Name (10)

 

 

 

 

M.I.

Suffix (3)

 

Account Title (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Address 1 (30)

 

 

 

 

 

Owner Address 2 (30)

 

 

 

Owner City (20)

 

 

 

State (2)

 

Zip (9)

 

 

 

Country if Not USA

Lot No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Soc. Sec. No./Empl. ID No.

Property Type (2)

Property ID Number (20)

 

 

Date (MMDDYY)

Initial Amount

Escheated Amount

Removal Indicator (If Applicable, Enter “P” or “R”)

Multiple Owners

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P

 

 

Otherwise

R

 

 

 

 

 

 

 

 

 

Reg.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

 

Owner Claimed

 

 

Reduced to Zero

 

 

 

Yes

 

 

 

 

 

 

Description of Security (70)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSIP Number of Security

 

No. of Shares or Denomination

Method of Transfer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How to Edit Ac 2686 Form Online for Free

The AC 2686 form is the official New York report for abandoned and unclaimed property. Use the guide below to complete it correctly and submit it on time.

Who Needs to Complete This Form?

Any organization holding unclaimed property belonging to New York residents must file this form. This includes banks, insurance companies, utility providers, and corporations with dormant accounts or uncashed funds.

What Information Do You Need?

Gather these details before you begin:

  • Organization name, address, and Federal Employer Identification Number (FEIN)
  • Name and last known address of each property owner
  • Property type: cash, securities, or other assets
  • Initial amount and escheated amount for each entry
  • For securities: CUSIP number, number of shares, and method of transfer

Step-by-Step: Completing Form AC 2686

Work through each section in order. The form has a header for the reporting period and organization details, followed by individual rows for each unclaimed property entry.

  1. Header: Enter the reporting period end date, organization name, address, and contact information.
  2. Property entries: For each unclaimed item, enter the owner name, address, property type, ID number, initial amount, and escheated amount.
  3. Escheatment indicators: Mark the correct column to show whether the property was removed, partially claimed, or fully claimed by the owner.
  4. Securities: Enter the CUSIP number and select the method of transfer for any securities.
  5. Totals and certification: Sum each column. Sign and date the certification at the bottom of the form.

Where to Submit the AC 2686 Form

Send the completed form to the New York Office of the State Comptroller, Bureau of Unclaimed Funds. Filing deadlines vary by organization type. Refer to the OSC Reporters Guide for current deadlines and mailing instructions.

Related Unclaimed Property Forms

If your organization reports in other states, see the Oklahoma Unclaimed Property Form for reference.