REPORTING INSTRUCTIONS 

Negative Report 
  
The Negative Report of Unclaimed Property applies to entities that have no unclaimed property to report for the required 
period.  Should you have any questions, contact the Reporting Specialists at (602) 716-6031 or (602) 716-6032. 
 
DO NOT file Negative reports on CD, DVD or USB flash drive. 
 
 Section 1                                    
 In this section, identify your company, the 
 reporting period and designated 
 contact. The designated contact will be 
 responsible for all ongoing interaction 
 with the Arizona Unclaimed Property 
 Section.  Future correspondence and 
 holder reimbursements will be sent to the 
 address reported at this time.   An officer 
 of your company may change the 
 designated contact person/contact 
 information by completing Arizona Form 
 285UP and Arizona Form 650A(Sections 1 
 and 2).    
  
 Section 2 
 In this section, carefully read the holder 
 declarations and indemnity agreement. 
  
 The signature of the employee authorized 
 to execute the report is required. 

                                                            Negative Report Form 650D 
  
                                                            Arizona Unclaimed Property Reporting Manual