Delaware Form Ap1 PDF Details

In the State of Delaware, the process of reporting unclaimed or abandoned property is outlined by the FORM AP1, a directive from the Department of Finance, Division of Revenue. This critical document plays a pivotal role in ensuring that assets which have not been claimed by their rightful owners are accurately reported and handled in accordance with state laws. The form encompasses a comprehensive range of information, including the reporting entity's details, such as the company's name, address, and federal E.I. number, alongside specific requirements for both banking organizations and life insurance companies regarding preliminary and final reports. Moreover, it meticulously details the types of unclaimed property to be reported, including but not limited to, cash amounts, number of shares, and the total number of property and owners involved. A significant aspect of the form is its emphasis on the verification of the report through a declaration by an authorized individual from the reporting entity, ensuring both accountability and accuracy in the reporting process. Additionally, the AP1 form provides a structured checklist for different categories of unclaimed properties, ranging from uncashed checks and court deposits to safe deposit boxes and securities, serving as a comprehensive guide for entities in their reporting obligations. This form is not only a legal requirement but also a critical tool in the state's efforts to return unclaimed or abandoned properties to their rightful owners, highlighting the importance of adherence to this procedure by all concerned entities.

QuestionAnswer
Form NameDelaware Form Ap1
Form Length6 pages
Fillable?Yes
Fillable fields452
Avg. time to fill out30 min 39 sec
Other namesAP-1, what is delaware form ap1, RECAPITULATION, delaware ap 1 form

Form Preview Example

FORM AP1

STATE OF DELAWARE

Department of Finance

REPORT OF UNCLAIMED

Division of Revenue

OR ABANDONED PROPERTY

P O Box 8931

 

Wilmington DE 19899

Verification For Report Year 20_____

REPORT INFORMATION

Please Check One

[] Final Report - Date preliminary report filed ____________________

[] Supplemental report - Date previous report___________________

[] Preliminary Report

Media Submitted

[] Paper

[] Compact Disc

[] Diskette

Note: Preliminary reports are filed by Banking organizations, on or before August 1st, and by Life Insurance companies by or before May 1st only.

_______________________________________________________

HOLDER INFORMATION

Enter Your Federal E.I.#- 1 -______________________________

Company Name:________________________________________________________________________

Address:

___________________________________________________________________________

___________________________________________________________________________

City,State, Zip

___________________________________________________________________________

State of Incorporation: ___________________Date of Incorporation:__________________Primary SIC Code:___________________

Contact

Person:______________________________Email_________________________________Title:_____________________________

Telephone:________________________________FAX Number:__________________________________

1.Is the above a successor corporation Yes___No___? If you answered yes, please attach a listing of previous corporate names and date of acquisition.

2. Has the corporation changed names in the past year Yes___NO___? If yes please enter the following information:

Previous NameFederal E.I.#Date of Change

________________________________________________________

 

REPORT RECAPITULATION

 

 

OWNER & PROPERTY COUNT*

CASH AMOUNT

NUMBER OF SHARES

This report:

____________________

____________________

_____________________

For Banking organizations or Life Insurance companies, please complete the following calculation when

submitting a final or supplemental report:

 

 

Preliminary Report:

____________________

____________________

_____________________

Additions:

____________________

____________________

_____________________

Deletions:

____________________

____________________

_____________________

Grand Total:

____________________

____________________

_____________________

Advertising Expenses (Bank & Insurance Holders Only): ____________________

 

REMITTANCE AMOUNT & SHARES:

____________________

_____________________

*Owner count is defined as the aggregate number of property owners; Property count is defined as the total number of individual property items being remitted. (Ex: Property owned jointly would have two owners, but count as only one piece of property)

FORM AP1

STATE OF DELAWARE

Department of Finance

REPORT OF UNCLAIMED

Division of Revenue

OR ABANDONED PROPERTY

P O Box 8931

 

Wilmington DE 19899

Verification For Report Year 20_____

HOLDER DELIVERY OF SECURITIES:

Holders delivering securities must provide account statements and documentation related to the State of Delaware Escheatment. Have securities been transferred to the State account: ______Yes ______ No

Are account statements and transfer documentation included with this report: ______Yes ______ No

_____________________________________________________________________________________

VERIFICATION

State of_________________________:

County of________________________: ss

I, ________________________________________ being first duly sworn, on oath depose and state that I have caused to be prepared and have

examined this report as to property presumed abandoned under the Delaware Unclaimed Property Law for the year ending as stated; that I am duly authorized by the holder to execute this report; and I believe that said report is true, correct and complete as of said date, excepting for such property as has ceased to be abandoned.

Signature__________________________________ Title________________________________________

Subscribed and sworn to before me this____________day of__________, 20_________.

DOCUMENT NO: 25-06/87/11/10

AP-1 CHECKLIST

# OWNERS / # PROP.

$ REPORTED

# SHARES

ACCOUNT BALANCES

AC01 Checking Accounts

AC02 Savings Accounts

AC03 Matured CD or Savings Certs.

AC04 Christmas Club Accounts

AC05 Money on Deposit to Secure Funds

AC06 Security Deposits

AC07 Unidentified Deposits

AC08 Suspense Accounts

AC99 Aggregate

TOTAL

UNCASHED CHECKS

CK01 Cashiers Checks

CK02 Certified Checks

CK03 Registered Checks

CK04 Treasurers Checks

CK05 Drafts

CK06 Warrants

CK07 Money Orders

CK08 Travelers Checks

CK09 Foreign Exchange Checks

CK10 Expense Checks

CK11 Pension Checks

CK12 Credit Checks or Memos

CK13 Vendor Checks

CK14 Checks Written off to Income

CK15 Other Official Checks

CK16 CD Interest Checks

CK99 Aggregate

TOTAL

COURT DEPOSITS

CT01 Escrow Funds

CT02 Condemnation Awards

CT03 Missing Heirs’ Fund

CT04 Suspense Accounts

CT05 Other Court Deposits

CT99 Aggregate

TOTAL

EDUCATIONAL SAVINGS ACCOUNTS

CS01 Cash

CS02 Mutual Funds

CS03 Securities

TOTAL

AP-1 CHECKLIST - CONTINUED

# OWNERS / # PROP.

HEALTH SAVINGS PLAN

HS01 Health Savings Account

HS02 Health Savings Account

Investment

TOTAL

INSURANCE

IN01 Indiv. Policy Benefits or Claims

IN02 Group Policy Benefits or Claims

IN03 Proceeds Due Beneficiaries

IN04 Proceeds From Matured Policies,

Endowments or Annuities

IN05 Premium Refunds

IN06 Unidentified Remittances

IN07 Other Amounts Due Under Policy

IN08 Agent Credit Balances

IN99 Aggregate

TOTAL

IRA - TRADITIONAL, SEP, SARSEP, AND SIMPLE

IR01 Cash

IR02 Mutual Funds

IR03 Securities

TOTAL

IRA - ROTH

IR05 Cash

IR06 Mutual Funds

IR07 Securities

TOTAL

MINERAL PROCEEDS & INTERESTS

MI01 Net Revenue Interest

MI02 Royalties

MI03 Overriding Royalties

MI04 Production Payments

MI05 Working Interest

MI06 Bonuses

MI07 Delay Rentals

MI08 Shut-in Royalties

MI09 Minimum Royalties

MI99 Aggregate

TOTAL

$ REPORTED

# SHARES

Funds for Liquadition/Redemption
(Accounts Rec.)

AP-1 CHECKLIST - CONCLUDED

# OWNERS / #PROP.

$ REPORTED

# SHARES

 

 

 

MISC. CHECKS & INTANGIBLE PERSONAL PROPERTY

MS01 Wages, Payroll, Salary

MS02 Commissions

MS03 Workers Compensation Benefits

MS04 Payment for Goods & Services

MS05 Customer Overpayments

MS06 Unidentified Remittances

MS07 Unrefunded Overcharges

MS08 Accounts Payable

MS09 Credit Balances

MS10 Discounts Due

MS11 Refunds Due

MS12 Unredeemed Gift Certificates

MS13 Unclaimed Loan Collateral

MS14 Pension & Profit Sharing Plans

MS15 Dissolution or Liquidation

MS16 Misc Outstanding Checks

MS17 Misc Intangible Property

MS18 Suspense Liabilities

MS99 Aggregate

TOTAL

SAFE DEPOSIT BOX (SAFEKEEPING)

SD01 SD Box Net Proceeds

SD02 Other Safekeeping

TOTAL

SECURITIES

SC01 Dividends

SC02 Interest (Bond Coupons)

SC03 Principal Payments

SC04 Equity Payments

SC05 Profits

SC06 Funds to Purchase Shares

SC07 Funds for Stocks & Bonds

SC08 Shares of Stock (Returned by P.O.)

SC09 Cash For Fractional Shares

SC10 Unexchanged Shares of Successor Corp

SC11 Other Certs. of Ownership

SC12 Underlying Shares

SC13

of unsurrendered Stock or bonds

SC14 Debentures

SC15 US Government Securities

SC16 Mutual Fund Shares

SC17 Warrants (Rights)

SC18 Matured Bond Principal

SC19 Dividend Reinvestment Plans

SC20 Credit Balances

SC99 Aggregate

TOTAL

AP-1 CHECKLIST - CONCLUDED

 

 

 

# OWNERS / #PROP.

$ REPORTED

 

 

 

# SHARES

TRUST, INVESTMENT & ESCROW ACCOUNTS

TR01 Paying Agent Accounts

TR02 Undelivered or Uncashed Dividends

TR03 Funds Held In Fiduciary Capacity

TR04 Escrow Accounts

TR05 Trust Vouchers

TOTAL

UTILITIES

UT01 Utility Deposits

UT02 Membership Fees

UT03 Refunds or Rebates

UT04 Capital Credit Distributions

UT99 Aggregate

TOTAL

ALL OTHER PROPERTY NOT IDENTIFIED ABOVE

ZZZZ ALL OTHER PROPERTY

TOTAL

GRAND TOTAL *

* Please total all property categories and enter grand total on front of form AP-1 in the Report Recapitulation section.

(REVISED 02/ 17/ 11)

How to Edit Delaware Form Ap1 Online for Free

You can complete the delaware ap 1 form form with our PDF editor. These steps will enable you to quickly prepare your document.

Step 1: Look for the button "Get Form Here" on this webpage and click it.

Step 2: At this point, you can start modifying your delaware ap 1 form. Our multifunctional toolbar is readily available - insert, remove, alter, highlight, and perform several other commands with the content material in the form.

For you to complete the template, type in the details the program will ask you to for each of the next sections:

Wilmington spaces to fill in

Provide the asked information in the HOLDER INFORMATION Enter Your, OWNER & PROPERTY COUNT* CASH AMOUNT, Date of Incorporation, Primary SIC, REPORT RECAPITULATION, NUMBER OF SHARES , This report:, Preliminary Report: Additions:, For Banking organizations or Life, and * Owner count is defined as the part.

Filling in Wilmington step 2

It is necessary to write down some data within the area Preliminary Report: Additions:, * Owner count is defined as the, Advertising Expenses (Bank &, and REMITTANCE AMOUNT & SHARES:.

Finishing Wilmington stage 3

The FORM AP, 1 Department of Finance, Verification For Report Year 20, STATE OF DELAWARE REPORT OF, OR ABANDONED PROPERTY, VERIFICATION, and HOLDER DELIVERY OF SECURITIES: segment may be used to identify the rights and obligations of both sides.

Filling out Wilmington part 4

Finish by checking the following areas and filling them out as needed: HOLDER DELIVERY OF SECURITIES:.

Wilmington HOLDER DELIVERY OF SECURITIES: fields to insert

Step 3: Once you've clicked the Done button, your document is going to be obtainable for export to every electronic device or email address you identify.

Step 4: Try to make as many duplicates of the file as you can to prevent possible worries.

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