Arizona Form 650A – Fill Out and Use This PDF

Arizona Form 650A PDF Details

This form is the annual report submitted by holders of abandoned property to the Arizona Department of Revenue's Unclaimed Property Section. Holders include banks, insurance companies, corporations, utilities, and any organization that maintains financial accounts or holds assets belonging to others.

What Property Must Be Reported

Reportable property under this report includes dormant bank accounts, uncashed payroll and vendor checks, uncollected insurance policy proceeds, abandoned stocks and dividends, security deposits, and customer credit balances. Most financial assets are considered abandoned after a three-year dormancy period under Arizona Revised Statutes § 44-302. Once that period expires, the holder must report and remit the property to the state.

Who Must File and When

Any holder who possesses property presumed abandoned under Arizona law must file this report. The annual filing deadline is November 1. Before submitting, holders must attempt to notify owners at their last known address at least 60 days before the filing date. This owner notification requirement is mandatory under A.R.S. § 44-307. Failure to file on time or remit property may result in interest and penalties.

Information Required on the Form

The report requires the holder's legal name, federal identification number, and contact information. You must also itemize each abandoned property account, listing the owner's name (if known), last known address, property type, and dollar amount. The report distinguishes between amounts under $50 and amounts over $50, and between accounts with known and unknown owners.

Certification and Submission

The form ends with a certification section that the authorized representative signs under penalty of perjury, confirming the accuracy and completeness of all reported information. Submit the completed report along with the remitted funds to the Arizona Unclaimed Property Section at 1600 West Monroe Street, Phoenix, AZ 85007.