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Overview

The Arizona Department of Revenue mandates the use of the 650A form for the reporting of abandoned or unclaimed property, which plays a crucial role in the process of reuniting lost assets with their rightful owners. This form, designated for entities holding such property, requires detailed information including the entity's name, federal ID number, state/date of incorporation, and a contact person for further communication. It differentiates between types of reports, such as annual reports and life insurance, and provides a conduit for successors of previous holders to declare their status. Furthermore, the form asks for a breakdown of the total amount of abandoned property, urging holders not to aggregate items under $50 to enhance the efficiency of the restitution process. It also requires the attachment of a list of individual owners and their properties, adhering to particular state laws, and confirms the sender has sent written notification to owners of the abandoned property, fulfilling statutory requirements. The 650A form underscores the significance of accuracy and legal compliance in its certification section, where the signatory must attest to the truthfulness of the information under penalty of perjury. This mechanism not only facilitates the state's efforts in managing unclaimed property but also sets a clear framework for holders to report such assets, highlighting the collaborative effort between the state and entities in safeguarding the financial interests of individuals.

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ARIZONA FORM Arizona Department of Revenue • Unclaimed Property Section

 

 

650A

REPORT OF ABANDONED PROPERTY

 

 

 

DATE STAMP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you are remitting securities, please use Arizona Form 650B

 

 

 

 

If you are remitting safe deposit box contents, please use Arizona Form 650C

 

1

 

Entity Name (Holder)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Federal ID Number

 

 

State/Date of Incorporation

Report Type

 

 

 

 

 

 

Annual Report

Life Insurance

 

 

Prior Name - If Entity Name has changed

 

Previous Holder - If you are a successor to a previous holder

 

 

 

 

 

 

 

 

 

Contact Person - For questions from staff members of the Arizona Department of Revenue

Name

Title

Direct Telephone Number

E-mail Address

Mailing Address

City

State

ZIP code

2

Customer Contact (for use by owners of reported property)

 

Name

Same

 

Telephone Number

 

E-Mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

Summary of Abandoned Property Report

 

Total amount of properties under $50

 

 

In order to facilitate customer service, we request that, when possible,

$

 

 

you do not aggregate these funds in your report.

 

 

 

Total amount of properties over $50 with known owners

Total amount of properties with unknown owners

Total amount of report

 

$

 

$

 

$

 

 

 

 

 

 

 

 

 

 

 

 

44a. I have attached a true and correct list (Schedule A) of individual owners and properties, in accordance with A.R.S. § 44-307(B). Reporting software is available for free download on our website www.azunclaimed.gov.4b. I have reviewed and understand the State of Arizona payment protocols (see Arizona Unclaimed Property Reporting Manual)

The relationship codes reported for each property will allow accurate payment to the reported owners.

4c. Written notice has been sent to the owners of all properties being reported/remitted in accordance with A.R.S. § 44-307(E).

5I hereby certify that I have the authority to execute this report of Unclaimed Property on behalf of the above named holder. I declare under penalty of perjury that the foregoing information, the information set forth in the schedules, and all documentation I have or will provide is true and complete.

Print Name

Signature

Date

Mailing address: Arizona Unclaimed Property Section 1600 West Monroe Street, Phoenix, AZ 85007

FOR DEPARTMENT USE ONLY

Deposit No.

Receipt No.

Holder No.

Check No.

Check Amount

Report No.

ADOR 10755 (8/11)

File Properties

Fact Name Description
Form Title Arizona 650A Report of Abandoned Property
Issuing Body Arizona Department of Revenue, Unclaimed Property Section
Alternative Forms Securities: Arizona Form 650B; Safe Deposit Box Contents: Arizona Form 650C
Primary Use Reporting abandoned or unclaimed property in Arizona
Governing Laws A.R.S. § 44-307(B) for reporting requirements; A.R.S. § 44-307(E) for owner notification requirements
Submission Requirements Includes mandatory schedule A for list of individual owners and properties; adherence to state payment protocols; owner notification prior to reporting

Instructions on Writing Arizona 650A

Completing the Arizona 650A form is a critical step for entities holding unclaimed property. This process ensures compliance with state regulations regarding the handling of assets that have gone unclaimed by their rightful owners for a specified period. The form facilitates the transfer of these assets to the state, allowing the original owners or their heirs to reclaim them. Follow the steps below carefully to ensure accurate and complete reporting.

  1. At the top section labeled "ENTITY NAME (HOLDER)", enter the full legal name of the entity holding the unclaimed property. Include the Federal ID Number and State/Date of Incorporation to accurately identify your entity.
  2. Under "Report Type", select the box that corresponds to the kind of report you are filing: Annual Report or Life Insurance. If there has been a change in your entity’s name or if you are a successor to a previous holder, provide the details in the "Prior Name" and "Previous Holder" fields, respectively.
  3. Provide the contact information for a person within your organization who can address inquiries related to this report. Include the Name, Title, Direct Telephone Number, and E-mail Address of the contact person.
  4. In the "Mailing Address" section, fill in the address where your entity receives mail. Include City, State, and ZIP code.
  5. For the "Customer Contact" section, provide the details of someone the owners of the reported property can contact. This might be the same as the contact person above or another individual. Include Name, Telephone Number, and E-Mail Address.
  6. In the "Summary of Abandoned Property" segment, report the total amount of properties under $50, over $50 with known owners, and with unknown owners. Remember, aggregating funds in your report is discouraged where possible.
  7. Confirm that you have attached Schedule A (item 4a), which lists the individual owners and properties. This list is vital for processing your report effectively.
  8. Verify that you have reviewed the State of Arizona payment protocols (item 4b) and understand how payments to reported owners will be executed based on the relationship codes for each property.
  9. Certify that written notice has been sent to all owners of the properties being reported, as required by state law (item 4c).
  10. Finally, the individual authorized to execute the report on behalf of the entity should print their name, sign the form, and date it under item 5.
  11. Review your form to ensure that all information is accurate and complete. Mail the signed original form to the Arizona Unattached Property Section at 1600 West Monroe Street, Phoenix, AZ 85007.

Once submitted, your form will be processed by the Arizona Department of Revenue. This step is essential for ensuring that unclaimed assets are properly handled and can be returned to their rightful owners. Diligent completion and submission of the Arizona 650A form is part of maintaining good standing and compliance with state regulations.

Listed Questions and Answers

What is the Arizona 650A form used for?

The Arizona 650A form is a document that entities use to report abandoned or unclaimed property to the Arizona Department of Revenue's Unclaimed Property Section. This includes funds or assets considered dormant under state law, like bank accounts, uncashed checks, or stocks that have had no activity or contact from the owner for an extended period.

Who needs to file the Arizona 650A form?

Any entity, such as businesses, financial institutions, or insurance companies, in possession of assets presumed abandoned or unclaimed by their owners must file the 650A form. This obligation applies to entities holding property that belongs to another party, where the owner has not asserted ownership, communicated about the property, or conducted transactions regarding the property within the timeframe specified by Arizona law.

What details are required when submitting the Arizona 650A form?

When completing the 650A form, entities must provide comprehensive information, including the entity’s name, Federal ID number, state and date of incorporation, and details regarding the type of report being filed (such as an annual report or life insurance). The form also requires information about the contact person for the entity, a summary of abandoned property, and certifications regarding the accuracy of the reported information and compliance with notification requirements.

Is there a deadline for submitting the Arizona 650A form?

Yes, the Arizona 650A form must be submitted according to the deadline set by the Arizona Department of Revenue. Generally, entities are required to file this form annually; however, the specific deadline can vary. It’s essential to check with the Arizona Department of Revenue or its official website to confirm the current filing deadline.

Can I submit properties worth less than $50 using the Arizona 650A form?

Absolutely, properties valued under $50 can and should be reported using the Arizona 650A form. The form specifically requests entities not to aggregate these smaller amounts in their reports, indicating each should be listed separately to ensure accurate and individual reporting for each property, regardless of its value.

What happens after submitting the form?

After submitting the form, the Arizona Department of Revenue's Unclaimed Property Section processes it. This may include verification of the information, correspondence with the entity for clarification, and ultimately, steps to locate and notify the rightful owners or heirs so they can claim their property. Entities may be contacted for additional information or documentation as needed.

Where do I send the completed Arizona 650A form?

The completed Arizona 650A form should be mailed to the Arizona Department of Revenue, Unclaimed Property Section at 1600 West Monroe Street, Phoenix, AZ 85007. It’s important to ensure that all necessary schedules and documentation are included with the form to avoid delays in processing.

Common mistakes

When filling out the Arizona Form 650A, which pertains to reporting abandoned or unclaimed property, individuals or entities often make mistakes that can complicate the process. Identifying and avoiding these missteps can ensure smoother interactions with the Arizona Department of Revenue's Unclaimed Property Section. Here are some of the most common errors:

  1. Incorrect Entity Information: Failing to accurately provide the entity's legal name, Federal ID Number, or State/Date of Incorporation. This foundational information is essential for correctly identifying the entity responsible for the abandoned property.

  2. Incomplete Report Type Indication: Not specifying the type of report being filed, such as an Annual Report or a Life Insurance Report, can lead to processing delays.

  3. Not Updating Entity Name Changes: If the entity's name has changed and this is not accurately reflected on the form, it can cause confusion and potential misidentification.

  4. Omitting Previous Holder Information: For entities that have taken over responsibilities from a previous holder, failure to mention this can obscure the property's history.

  5. Inadequate Contact Information: Providing incomplete or incorrect contact information for the person responsible for the report limits the Arizona Department of Revenue's ability to clarify or request additional information.

  6. Aggregating Properties under $50: The instruction recommends against aggregating funds in the report to improve customer service, yet this guidance is often overlooked.

  7. Failure to Attach Schedule A: Not attaching the required list of individual owners and properties (as per A.R.S. § 44-307(B)) delays verification and processing of the report.

  8. Lack of Review of Payment Protocols: Entities sometimes neglect to review and understand the State of Arizona payment protocols, leading to incorrect relationship codes and payment issues to reported owners.

  9. Ignoring Written Notice Requirements: The law mandates that written notice be sent to owners of all reported/remitted property in accordance with A.R.S. § 44-307(E). Failure to comply with this requirement can result in legal complications.

The above mistakes, while seemingly minor individually, can collectively affect the efficient processing of unclaimed property reports. Paying careful attention to detail and thoroughly reviewing the Arizona Form 650A instructions can mitigate these errors and ensure compliance with the state's requirements.

Documents used along the form

When managing unclaimed property in Arizona, completing the Form 650A is just one step in a comprehensive process. There are several other forms and documents that are often required to ensure compliance with state laws and regulations. These additional forms play critical roles in the reporting, remitting, and reclaiming of unclaimed property. Understanding each of these documents is crucial for a thorough submission to the Arizona Department of Revenue.

  • Arizona Form 650B: Specifically designed for entities remitting securities as unclaimed property. This form addresses the particular requirements and information needed when dealing with stocks, bonds, and other securities, ensuring they are correctly transferred to the state.
  • Arizona Form 650C: Used for remitting the contents of safe deposit boxes. This form accounts for the unique nature of tangible property, requiring a detailed description of each item and its estimated value, facilitating the proper handling and eventual return to the rightful owner.
  • Schedule A: Attached to the Arizona Form 650A, Schedule A is a detailed list of individual owners and their unclaimed properties. This document provides a comprehensive breakdown, including owner names, last known addresses, and the amounts due, which assists in the accurate identification and facilitation of property claims.
  • Holder Notice Letter: Before submitting the Form 650A, holders of unclaimed property are required to send a written notice to the apparent owners of the property, if their address is known. This preliminary step, aimed at directly reuniting owners with their property, must be completed within a specified timeframe before reporting and remitting to the state.

Together, these forms and documents ensure a transparent and effective process for handling unclaimed property in Arizona. They not only facilitate the identification and reporting of such property but also outline the necessary steps for ensuring that these items can be reunited with their rightful owners. Compliance with these requirements reflects a commitment to both regulatory obligations and the principle of returning property to its legitimate claimants.

Similar forms

The Arizona 650A form is quite similar to California's UFS-1 (Unclaimed Property Report Form). Both are designed to report unclaimed property to the state, ensuring that assets like uncashed checks, accounts, or other financial assets that have been forgotten are returned to their rightful owners. Each form requires detailed information about the holder of the unclaimed property, including their contact information, the total amount of unclaimed property under and over certain dollar amounts, and a declaration that the information provided is accurate. This similarity in structure and purpose underscores the standardized approach states take to manage unclaimed property.

Another document resembling the Arizona 650A form is the New York OS-1140 (Report of Abandoned Property). Like the Arizona form, New York's variant focuses on collecting information about financial assets that have not been claimed by their owners. Both documents necessitate a detailed listing of the properties, the values involved, and verifiable contact information for the entity reporting the unclaimed assets. They also share requirements for mandatory reporting periods and the demand for meticulous records to support potential claims by rightful owners.

The Florida FL-UP-1E (Unclaimed Property Reporting Form) bears a resemblance to the Arizona 650A form. Each state's document is integral to its unclaimed property program, emphasizing the importance of returning assets to their rightful owners. Florida's form, much like Arizona's, compels the reporting entity to provide a comprehensive account of unclaimed assets, including individual owners' information and the total reportable amounts. Furthermore, both states require that these forms are filed annually, highlighting a systemic effort to manage and reduce unclaimed property volumes.

Michigan's 1223 (Unclaimed Property Annual Report Form) also aligns with the Arizona 650A form in several aspects. These forms serve as a crucial mechanism for reporting abandoned assets to the state for eventual return to the rightful owners. The Michigan form, similar to Arizona's, asks for detailed information about the assets being reported, including their total values and the particulars of the entities holding these assets. Additionally, both states have instituted protocols to ensure accurate and efficient processing of these reports.

The Texas UCP Annual Report Submission Form is another example of a document with similarities to Arizona’s 650A form. This form is part of Texas’s unclaimed property management system, requiring reports on assets like dormant accounts that have been inactive for a certain period. Both the Texas and Arizona forms require the reporting entity to disclose comprehensive details on the unclaimed property, aiming to safeguard the interests of the owners. Each form also stipulates the need for a certification by the entity that the information provided is complete and true, ensuring the integrity of the reporting process.

The Illinois ICASH-UP-1 (Unclaimed Property Report Form) echoes the features of the Arizona 650A form through its comprehensive approach to reporting unclaimed assets. Both documents are integral to their respective states' efforts to reunite lost or forgotten assets with their owners. Each form mandates detailed disclosure about the properties and the entities holding them, emphasizing transparency and adherence to state laws governing unclaimed property. The reporting requirements highlight the commitment of both states to reduce unclaimed assets in their jurisdictions.

Pennsylvania's PA Treasury Report of Unclaimed Property (PA-UP) form shares objectives and structure with Arizona's 650A form. Aimed at efficiently managing unclaimed property, both forms require entities to report assets that have gone unclaimed after a dormancy period. They seek detailed information about these assets, including the identity of the entity holding them and a breakdown of the values involved. By compelling entities to report unclaimed assets, both states work toward ensuring those assets can eventually be claimed by their rightful owners.

The Ohio Division of Unclaimed Funds' Annual Report of Unclaimed Funds Form is akin to the Arizona 650A form in purpose and process. Each form is a component of the state's efforts to address the issue of unclaimed financial assets. By requiring detailed information on unclaimed assets and the entities holding them, both Ohio and Arizona aim to facilitate the return of these assets to their rightful owners. The emphasis on detail, accuracy, and accountability in both documents highlights the states' commitment to managing unclaimed property effectively.

Dos and Don'ts

Filling out the Arizona 650A form requires attention to detail and understanding of the requirements. To ensure accurate and complete submission, here are things you should and shouldn't do:

  • Do ensure all information is accurate and current. Double-check the Entity Name, Federal ID Number, and contact details for accuracy to avoid any processing delays.
  • Do not leave fields blank unless specifically instructed. If a question does not apply, consider entering "N/A" or "None," as appropriate, to indicate the question was reviewed but not applicable.
  • Do attach Schedule A with a detailed list of individual owners and properties, as required by A.R.S. § 44-307(B). This is crucial for the proper handling and eventual claim of the unclaimed property.
  • Do not aggregate amounts under $50 as requested by the form’s guidelines. Keeping individual records assists in more accurate reporting and tracking.
  • Do review and follow the State of Arizona payment protocols. Understanding these protocols ensures that you are in compliance with state requirements and helps in the accurate allocation of funds to owners.
  • Do not disregard the requirement to send written notices to owners of abandoned property. This step is mandated by A.R.S. § 44-307(E) and is an important part of due diligence.

Taking care to accurately complete the Arizona 650A form not only complies with state regulations but also significantly aids in the efficient processing of unclaimed property. By following these guidelines, entities can ensure their reporting is both compliant and helpful to the rightful owners seeking to claim their property.

Misconceptions

When it comes to the Arizona 650A form, a few misconceptions frequently crop up. Clearing up these common misunderstandings can help entities handle unclaimed property more effectively.

  • Misconception #1: The 650A form is only for financial institutions. While banks and financial institutions often deal with unclaimed property, the requirement to file this form extends to all entities that may hold unclaimed property, including businesses in other sectors. Any entity that finds itself in possession of unclaimed property, such as uncashed checks, unclaimed wages, or customer credits, must use the 650A form to report these assets to the state.
  • Misconception #2: Only large amounts of unclaimed property need to be reported. There's a common belief that only significant amounts of unclaimed property require reporting, but the 650A form makes it clear that all amounts, regardless of size, should be reported. In fact, the form specifically asks for a breakdown of properties under $50 and those over $50, signaling that there's no minimum threshold for reporting purposes.
  • Misconception #3: You can aggregate small amounts into one entry. While it might seem more convenient to lump together small amounts of unclaimed property to simplify reporting, the form discourages this practice. Entities are requested to provide detailed information on individual properties to facilitate owner identification and claims, ensuring each owner's rights are preserved.
  • Misconception #4: The 650A form is only used for reporting; no further action is required. Filing the form is a crucial step in the process, but it's just the beginning. The form stipulates that entities must attempt to notify owners of the unclaimed property before remitting it to the state. This step underscores the importance of due diligence in trying to reunite owners with their property before the state assumes custody.

Understanding these nuances can ensure compliance with the Arizona Department of Revenue's requirements and help rightful owners reclaim their property. It's about more than just filling out a form; it's a process that demands attention to detail and a commitment to the principles of unclaimed property laws.

Key takeaways

Understanding how to correctly complete and submit the Arizona 650A form is crucial for entities managing unclaimed property. Here are key takecharges to guide you:

  • Specify Entity Details: The form requires comprehensive information about the entity reporting the abandoned property, including the entity's name, federal ID number, state and date of incorporation, and contact details. It's essential to ensure accuracy in these details to avoid processing delays.
  • Different Forms for Different Properties: The 650A form is used for general abandoned or unclaimed property. However, if the unclaimed property includes securities or safe deposit box contents, the appropriate forms to use are 650B and 650C, respectively. Choosing the correct form is pivotal for proper submission.
  • List and Detail of Abandoned Property: Attach a detailed list (Schedule A) of individual owners and properties as required by A.R.S. § 44-307(B). The form separates the properties into those under $50 without known owners, those over $50 with known owners, and those with unknown owners. Reporting each property distinctly enhances clarity and facilitates the rightful return to owners.
  • Understanding and Compliance: It's important to review and understand the State of Arizona payment protocols as laid out in the Arizona Unclaimed Property Reporting Manual. The form explicitly asks for confirmation that these protocols have been reviewed. This ensures that the property is reported accurately and increases the efficiency of the process.
  • Notification Requirement: You must notify the owners of the property being reported, as mandated by A.R.S. § 44-307(E). This notification is a crucial step in the process, aiming to reunite the rightful owners with their property before it is transferred to the state.
  • Certification and Penalty for Perjury: The form must be certified by an individual with the authority to report unclaimed property on behalf of the entity. This certification includes a declaration under penalty of perjury that all information provided is true and complete, emphasizing the importance of accuracy and honesty in reporting.

Properly filling out and submitting the Arizona 650A form is a legal obligation for entities that hold unclaimed property. Following these guidelines helps ensure that the process is done correctly and efficiently, ultimately facilitating the return of property to its rightful owners.

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