Arizona Form 652 PDF Details

In the landscape of personal finance and asset management, certain forms play pivotal roles in ensuring the proper handling of assets that have fallen out of touch with their rightful owners. The Arizona Form 652 is a prime example, serving as a critical instrument for reporting abandoned or unclaimed property to the Arizona Department of Revenue's Unclaimed Property Section. This comprehensive form requires detailed information from holders—ranging from businesses to financial institutions—about assets that have had no activity or contact with the owner for a specific period. Essential information required on this form includes the holder's name, federal employer identification number, the total amount remitted, detailed descriptions of the property (such as account numbers, check numbers, types of property according to the National Association of Unclaimed Property Administrators (NAUPA) classification, cash amounts, interest rates, dates of last activity, and owner details including names, addresses, and social security or employer identification numbers). Furthermore, the form meticulously gathers information about any additional owners, specifying relationships, dates of birth, and if applicable, dates of death. The Arizona Form 652, thus, represents a significant step in the process of reconnecting unclaimed assets with their rightful owners, embodying meticulous record-keeping and adherence to legal frameworks designed to protect financial assets until they can be rightfully claimed.

QuestionAnswer
Form NameArizona Form 652
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesstste, arizona unclaimed property form 652, NAUPA, SSN

Form Preview Example

ARIZONA FORM Arizona Department of Revenue • Unclaimed Property Section

652 REPORT OF ABANDONED PROPERTY - SCHEDULE A

HOLDER NAME

Federal Employer Indenti

Grand Total Remitted

$

Item no.

Account #

 

 

 

 

 

Check #

 

 

 

 

 

NAUPA property type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash amount remitted

 

 

 

Interest rate

 

 

 

 

 

 

Last activity date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner’s last name

 

 

 

Owner’s first name / middle initial

Owner’s mailing address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, ZIP code

 

 

 

Country

 

Owner’s Tax ID (SSN or EIN)

Owner’s date of birth

NAUPA relationship code

 

 

 

 

 

 

 

 

 

 

 

Fee/Drilling cost

No.of shares remitted

 

Security/Mutual Fund name

 

 

CUSIP no.

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE THE FIELDS BELOW IF THERE IS MORE THAN ONE OWNER FOR THIS PROPERTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name / middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name

/ middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item no.

Account #

 

 

 

 

 

Check #

 

 

 

 

 

NAUPA property type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash amount remitted

 

 

 

Interest rate

 

 

 

 

 

 

Last activity date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner’s last name

 

 

 

Owner’s first name / middle initial

Owner’s mailing address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, ZIP code

 

 

 

Country

 

Owner’s Tax ID (SSN or EIN)

Owner’s date of birth

NAUPA relationship code

 

 

 

 

 

 

 

 

 

 

 

Fee/Drilling cost

No.of shares remitted

 

Security/Mutual Fund name

 

 

CUSIP no.

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE THE FIELDS BELOW IF THERE IS MORE THAN ONE OWNER FOR THIS PROPERTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name / middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name

/ middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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ADOR 11017 (8/11)

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Step # 1 in submitting EIN

2. The third step is to fill in the following blanks: dettimer tnuoma hsaC, etar tseretnI, etad ytivitca tsaL, eman tsal srenwO, srenwO, fi rst name middle initial Owners, ytiC, State, edoc PIZ , yrtnuoC, htrib fo etad srenwO NIE ro NSS DI, edoc pihsnoitaler APUAN, FeeDrilling cost, Noof shares remitted, and SecurityMutual Fund name.

The way to fill in EIN portion 2

It is possible to make an error when filling in the FeeDrilling cost, therefore you'll want to go through it again before you'll submit it.

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