Virginia Form Unclaimed Property PDF Details

In the Commonwealth of Virginia, the Department of the Treasury's Division of Unclaimed Property plays a crucial role in reuniting forgotten or lost assets with their rightful owners. Operating from P.O. Box 2478 in Richmond, VA, and accessible through various communication methods including phone, fax, and a toll-free number, this department handles a wide range of unclaimed assets through the AP1 Form for Report of Unclaimed Property. This vital document is intricately designed to capture an extensive array of information crucial for the identification, reporting, and subsequent processing of unclaimed properties. Entities are required to provide details ranging from contact information and business specifics such as Federal Employer Identification Number, Standard Industry Code, state of incorporation, and primary business activities, to financial data including annual gross income, assets, and employee count. Crucially, the form mandates a thorough disclosure of property types being reported — such as cash, securities, and tangible assets among others — and necessitates the completion of due diligence dates, reporting year, and the attachment of supporting property details. The form goes further to emphasize the importance of compliance by highlighting potential interest and penalties pursuant to §55-210.26:1 of the Code of Virginia for failure to duly report and remit unclaimed properties. It rounds off with a certification section, mandating that an authorized representative affirm the report's completeness and accuracy, underscoring the serious legal undertakings involved in handling unclaimed properties. This comprehensive approach ensures a meticulous process aimed at safeguarding the integrity of unclaimed property reporting and reclaiming in Virginia.

QuestionAnswer
Form NameVirginia Form Unclaimed Property
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesap 1 form va, va form unclaimed property, ap 1 form property code for virginia, ap1 form

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COMMONWEALTH OF VIRGINIA

DEPARTMENT OF THE TREASURY

Division of Unclaimed Property

P O Box 2478 Richmond, VA 23218

PHONE (804) 225-2393 FAX (804) 786-4653

TOLL FREE 1-800-468-1088

For State Use Only

CHECK AMOUNT ________

CHECK # _______________

DEPOSIT DATE _________

INITIALS _______________

INTEREST PAYMENT AMOUNT $________________________

Holder Name

Holder Number

Address

City, State Zip Code

AP1 FORM FOR REPORT OF UNCLAIMED PROPERTY

1. Contact person:

2.

If the address above is incorrect, please correct here:

Name:___________________________________

 

_______________________________________________

Title: ________________________________________

 

_______________________________________________

Department: __________________________________

 

____________________________________________________

Telephone Number: ____________________________

3.

Please provide

FAX Number: _________________________________

 

e-mail address ________________________________________

ABOUT THIS BUSINESS ENTITY:

4.Federal Employer Identification Number _________________5. Standard Industry Code _________________________________

6.

State of Incorporation (or locality where business license is filed if not incorporated) ______________________________________

7.Date of Incorporation ________________________________8. Primary Business Activity ________________________________

9.Annual Gross Income $ ________________ Assets $ _________________________ # of Employees_______________________

ABOUT THIS REPORT:

10.Date(s) Due Diligence was Performed _____________________________

11.

This report is for Report Year _________ and the type of report is

REGULAR

 

AUDIT

 

NEGATIVE

 

OTHER ___________

 

12.

This report has the following media attached to report the property details:

 

 

 

REPORT UPLOADED TO WEBSITE

 

DISKETTE/CD

HARD COPY-PAPER, CONSISTING OF __________PAGES

 

 

 

 

 

13.

This is the first time this business entity has filed an Unclaimed Property Report:

 

YES

 

NO

14.Property types on this report include: CASH SECURITIES MUTUAL FUNDS TANGIBLE PROPERTY

IMPORTANT NOTICE: Your remittance must accompany this report and an authorized representative of your business must complete the certification that follows. Please complete the summary information on the reverse of this page, and mail your report and remittance to the address at the top of this form. Pursuant to §55-210.26:1 of the Code of Virginia, interest and penalties may be imposed for failure to report and remit as required.

I, _______________________________________________, CERTIFY THAT I HAVE CAUSED TO BE PREPARED AND HAVE EXAMINED THIS

REPORT AS TO PROPERTY PRESUMED ABANDONED UNDER THE VIRGINIA UNCLAIMED PROPERTY LAW FOR THE YEAR ENDING AS STATED, THAT I AM DULY AUTHORIZED TO EXECUTE THIS VERIFICATION BY THE HOLDER AND BY LAW AND THAT I BELIEVE THAT SAID REPORT IS TRUE, CORRECT, AND COMPLETE AS OF SAID DATE, EXCEPTING FOR SUCH PROPERTY AS HAS SINCE CEASED TO BE ABANDONED. THIS REPORT TOTALS # _______PROPERTIES FOR $______________________ AND #_________________ SHARES.

SIGNATURE _____________________________________________________________

TITLE __________________________________________________________________ DATE ________________________________

CASH PROPERTY

ACCOUNT BALANCES DUE

AC01 CHECKING ACCOUNTS

AC02 SAVINGS ACCOUNTS

AC03 MATURED CD OR SAVINGS CERTIFICATE AC04 CHRISTMAS CLUB FUNDS

AC05 MONEY ON DEPOSIT TO SECURE FUND AC06 SECURITY DEPOSIT

AC07 UNIDENTIFIED DEPOSITS

AC08 SUSPENSE ACCOUNTS AC09 SHARE ACCOUNTS

AC21 MISCELLANEOUS DEPOSITS

AC99 AGGREGATE ACCOUNT BALANCES <$100

UNCASHED CHECKS

CK01 CASHIER’S CHECKS

CK02 CERTIFIED CHECKS

CK03 REGISTERED CHECKS

CK04 TREASURER’S CHECKS CK05 DRAFTS

CK06 WARRANTS CK07 MONEY ORDERS CK08 TRAVELER’S 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 OUTSTANDING OFFICIAL CHECKS CK16 CD INTEREST CHECKS

CK99 AGGREGATE UNCASHED CHECKS <$100

MISCELLANEOUS CHECKS

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 – A/R MS10 DISCOUNTS DUE MS11 REFUNDS DUE

MS12 UNREDEEMED GIFT CERTIFICATES MS13 UNCLAIMED LOAN COLLATERAL

MS14 PENSION & PROFIT SHARING PLANS (IRA , KEOGH) MS15 DISSOLUTION OR LIQUIDATION

MS16 MISC OUTSTANDING CHECKS

MS17 MISC INTANGIBLE PROPERTY MS18 SUSPENSE LIABILITIES MS19 OTHER CASH

MS20 Rental Property Income

MS99 AGGREGATE MISC PROPERTY <$100

COURT & LOCALITY FUNDS

CT01 ESCROW FUNDS

CT02 CONDEMNATION AWARDS

CT03 MISSING HEIRS’ FUNDS

CT04 SUSPENSE ACCOUNTS

CT05 OTHER COURT DEPOSITS

CT07 EVIDENCE MONEY

CT08 GENERAL RECEIVER ACCOUNTS CT09 COURT ORDERED REFUNDS

CT10 PERSONAL PROPERTY TAX OVERPAYMENT CT11 REAL ESTATE TAX OVERPAYMENT

CT12 COURT HELD ACCOUNTS CT13 BONDS

CT14 ESTATE ACCOUNTS CT15 LITIGATIONS CT16 RESTITUTIONS

CT99 AGGREGATE COURT DEPOSITS <$100

INSURANCE

IN01 INDIVIDUAL POLICY BENEFITS OR CLAIMS PD

IN02 GROUP POLICY BENEFITS OR CLAIMS PAID

IN03 PROCEEDS DUE BENEFICIARIES

IN04 PROCEEDS FROM MATURED POLICIES, ENDOWMENTS

IN05 PREMIUM REFUNDS

IN06 UNIDENTIFIED REMITTANCES

IN07 OTHER AMOUNTS DUE UNDER POLICY TERMS

IN08 AGENT CREDIT BALANCES

IN09 ANNUITIES

IN10 DEMUTUALIZATION CASH

IN11 DEMUTUALIZATION SECURITIES

IN99 AGGREGATE INSURANCE PROPERTY <$100

TRUST, INVESTMENT AND ESCROW

ACCOUNTS

TR01 PAYING AGENT ACCOUNTS

TR02 UNDELIVERED OR UNCASHED DIVIDENDS TR03 FUNDS HELD IN FIDUCIARY CAPACITY TR04 ESCROW ACCOUNTS

TR05 TRUST VOUCHERS

TR06 ENDOWMENT FUNDS

TR99 AGGREGATE TRUST PROPERTY <$100

UTILITIES

UT01 UTILITY DEPOSITS

UT02 MEMBERSHIP FEES UT03 REFUNDS OR REBATES

UT04 CAPITAL CREDIT DISTRIBUTIONS UT99 AGGREGATE UTILITY PROPERTY <$100

MINERAL PROCEEDS & MINERAL

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 MINERAL INTERESTS <$100

CASH PROPERTY SUMMARY:

TOTAL CASH REMITTED:_______________________

TOTAL # OF ITEMS: ___________________________

TANGIBLE PROPERTY

SAFE DEPOSIT BOXES & SAFEKEEPING

SD01 SAFE DEPOSIT BOX CONTENTS

SD02 OTHER SAFEKEEPING

SD03 OTHER TANGIBLE PROPERTY

TANGIBLE PROPERTY SUMMARY:

TOTAL ITEM COUNT:________________________

TOTAL # OF OWNERS: ______________________

SECURITY PROPERTY

SECURITIES

SC01 DIVIDENDS

SC02 INTEREST (BOND COUPONS) SC03 PRINCIPAL PAYMENTS SC04 EQUITY PAYMENTS

SC05 PROFITS

SC06 FUNDS PAID TO PURCHASE SHARES SC07 FUNDS FOR STOCKS AND BONDS SC08 SHARES OF STOCK (RETURNED BY POST

OFFICE)

SC09 CASH FOR FRACTIONAL SHARES

SC10 UNEXCHANGED STOCK OF SUCCESSOR CORP SC11 OTHER CERTIFICATES OF OWNERSHIP SC12 UNDERLYING SHARES OR OTHER

STANDING CERTIFICATES

SC13 FUNDS FOR LIQUIDATION/REDEMPTION OF UNSURRENDERED STOCK OR BONDS

SC14 DEBENTURES

SC15 US GOVT SECURITIES

SC16 MUTUAL FUND SHARES

SC17 WARRANTS (RIGHTS)

SC18 MATURED BOND PRINCIPAL SC19 DIVIDEND REINVESTMENT PLANS SC20 CREDIT BALANCES

SC21 LIQUIDATED MUTUAL FUND SHARES SC97 MUTUAL FUND IRA/RETIREMENT ACCTS SC99 AGGREGATE SECURITY RELATED CASH <$100

SECURITY PROPERTY SUMMARY: TOTAL SHARES REMITTED:__________________

TOTAL # OF ITEMS: _________________________

MISCELLANEOUS

ZZZZ PROPERTIES NOT IDENTIFIED ABOVE