Ufs 1 Form PDF Details

In the landscape of asset management and compliance, the Universal Holder Face Sheet (UFS-1), revised in April 2009, stands as a critical document for entities holding unclaimed property in the state of California. Governed by the State Controller’s Office, this form is an essential component of the unclaimed property reporting process, necessitating meticulous attention to detail and accuracy in its completion and submission. It serves multiple purposes, including the declaration of unclaimed assets by holders, be it corporations, partnerships, or individual entities, thereby ensuring these assets can be rightfully returned to their owners or heirs. The UFS-1 form encompasses detailed sections, including holder information, property owner contact details, and totals of reported or remitted dollars and shares, among others. It further specifies the procedural adherence for electronic funds transfer for remittances exceeding $20,000.00, as mandated by the Code of Civil Procedure Section 1532. Additionally, the form accommodates details relevant to life insurance considerations, holder agent interactions, and the specifics of demutualization proceeds, all contributing to a comprehensive framework for reporting unclaimed property. As such, the UFS-1 form is not only a tool for regulatory compliance but also a facilitator of the broader objective to reunite unclaimed properties with their rightful claimants, underscoring the importance of its accurate and timely submission.

QuestionAnswer
Form NameUfs 1 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesca universal holder face sheet, california universal holder face sheet, ufs 1 fillable, universal holder face sheet

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California State Controller’s Office

UNIVERSAL HOLDER FACE SHEET (must be completed and attached with all reports)

UFS-1(Rev. 04/09)

Mail to: California State Controller’s Office, John Chiang, State Controller, Unclaimed Property Division, P.O. Box 942850, Sacramento, CA 94250

Notice Report

Or

Remit Report

Due Before November 1 or

 

Due Between June 1 and June 15 or

Life Insurance Due Before May 1

 

Life Insurance Due Between December 1 and December 15

 

 

 

Section A—Holder Information

 

 

FEIN

Branch Number

Report As of Date

Check Number / EFT Debit Ref Number (Remit Report Only)

Section B—Report Completion Contact

Holder Name

Street Address

 

P.O. Box Number

City

State

Zip Code

Country

 

 

 

 

 

 

 

 

Contact Name (For report completion)

 

Title

Phone Number

Extension

 

 

 

 

 

 

 

 

E-mail Address (Optional)

 

 

 

 

 

Section C—Property Owner Contact

Holder Name

Street Address

P.O. Box Number

City

State

Zip Code

Country

 

 

 

 

 

Contact Name

 

Title

Phone Number

Extension

 

 

 

 

 

E-mail Address (Optional)

 

 

 

 

Section D—Holder Agent Contact (If Applicable)

Agent Name

Street Address

P.O. Box Number

City

State

Zip Code

Country

 

 

 

 

 

Contact Name (For report completion)

 

Title

Phone Number

Extension

 

 

 

 

 

E-mail Address (Optional)

 

 

 

 

Section E—Prior Holder Name If you are the successor to a previous holder of property, or if you have changed your name, please list such prior name

Name

Section F—Holder Report Totals

Total Reported/Remitted Dollars

Total Reported/Remitted Shares

Includes Safe Deposit Box

Yes No

*Any Remittance of $20,000.00 or more must be paid by Electronic Funds Transfer (EFT), pursuant to CCP Section 1532*

Section G - Holder Business Information

Organization Type:

NAICS Code:

 

 

 

Incorporation State:

Charter

Federal

or

State

Incorporation Date:

Charter Date:

 

 

 

Section H– Demutualization Proceeds This report includes proceeds from the demutualization of an insurance company for the category checked below.

Date of Demutualization ___________________

Distribution not sent, because holder did not have a valid address (CCP Section 1515.5 (a)). Abandoned Immediately

Distribution sent but returned by the post office as undeliverable (CCP section 1515.5 (b)).

Abandonded after two years

Distribution sent and not returned by the post office (CCP Section 1515.5 (c)).

Abandonded after three years

Section I: Verification

Section I- Verification If made by an individual, shall be verified by the individual; if made by a partnership, by a partner; if made by an unincorporated association or private corporation, by an officer; if made by a public corporation, by its chief fiscal officer or other employee authorized by the holder (CCP Section 1530(e)).

The undersigned,declares, under penalty of perjury, that, to the best of (his) (her) knowledge and belief, the following sheets

contain a full, true, and complete report of unclaimed property which is presumed unclaimed under the provisions of Part 3, Title 10, Chapter 7, Code of Civil Procedure, commencing with Section 1500, and Title 2, California Administrative Code, Sections 1150 et seq. The Undersigned also confirms that all properties not listed on the

Remit Report, which were initially included on the Notice Report, were due to contact by the apparent owner, or the property being reactivated or returned to the rightful owner. Properties not included on the Notice Report cannot be listed on the Remit Report and must be reported on a Supplemental Notice Report.

Signature

Title

Date

UFS-1 (Rev 04/09)

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2. After finishing this step, head on to the subsequent step and complete the necessary particulars in all these fields - Section EPrior Holder Name If you, Name, Section FHolder Report Totals, Total ReportedRemitted Dollars, Total ReportedRemitted Shares, Any Remittance of or more must be, Includes Safe Deposit Box cid Yes, Section G Holder Business, NAICS Code Charter Charter Date, Federal cid or State cid, Section H Demutualization Proceeds, Date of Demutualization cid, Section I Verification, Section I Verification If made by, and The undersigned declares under.

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