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RPD-41202
Rev. 02/27/2024                      New Mexico Taxation and Revenue Department
                                     List of Owners of Unclaimed Property
                                                        Unclaimed Property Office 
                                                        P.O. Box 25123 
                                                        Santa Fe, New Mexico 87504-5123

Section 1
1. Name of Holder                                                         2. Period Covered

3. Report Year                    4. FEIN, SSN, or ITIN                   From:                                     To:
                                                                                         MM/DD/CCYY                              MM/DD/CCYY
Section 2
                Column 1             Column 2                                   Column 3     Column 4               Column 5     Column 6 Column 7     Column 8
                Owner Name           Last Known Address                   FEIN, SSN, or ITIN Owners Account,        Date of Last Rela-    Amount       Property 
                                                                                             Certificate, or Policy Transaction  tion     (Principal + Type 
Last            First      Middle    Number & Street City, State Zip Code                    Number                              Code     Dividends +  Code
                                                                                                                                          Interest)

                                                                                                      Total of Column 7

                                                                                                             Total of All Pages



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RPD-41202
Rev. 02/27/2024                          New Mexico Taxation and Revenue Department
                                         List of Owners of Unclaimed Property
                                                     Instructions
This form is used to report individual cash and cash-related                    use one block to list the names and addresses 
items of unclaimed property. Stocks, bonds and other securi-                    of both the remitter and the payee, specifying 
ties are to be reported on Form RPD-41203, List of Owners                       each. If addresses of the remitter and payee are 
of Unclaimed Stocks and Other Securities. This form is to be                    different, use two different blocks, consecutively. 
completed and returned with the other reporting forms, Form                     The identification number is required for money 
RPD-41201, New Mexico Report of Unclaimed Property, and                         orders and travelers checks.
Form RPD-41204, List of Unclaimed Contents of Safe Deposit                      (C) In the case of insured and beneficiary ac-
Boxes or Other Safekeeping Repositories.                                        counts, if a single item has two or more owners 
                                                                                and the addresses are the same, list both the 
Items of unclaimed funds must be identified by the categories                   names and addresses in one block. If addresses 
as listed on the Unclaimed Property Retention Period and                        are different, list in two separate blocks. When 
Property Type Codes Schedule. The exact Property Type                           listing  in  two  separate  blocks,  show  amount 
Code and Description are to be used when completing this                        owned to first owner and show $0 for second 
form.                                                                           owner.
                                                                      Column 2:  Last Known Address
Page Number Pages should be numbered consecutively                              Enter last known address of the owner, benefi-
(e.g., page 1 of 24; 2 of  24) at the top of the form. Page totals              ciary, payee or trustee as shown on your records, 
are to be entered on each page and the grand total for column                   even though mail has been returned from such 
7 should be entered on the last page.                                           address. If the address is unknown, enter “Un-
                                                                                known”.
Section 1                                                             Column 3:  FEIN, SSN, or ITIN
1.  Name of Holder                                                              Enter the FEIN, SSN, or ITIN of each owner of 
   Enter the name of the holder.                                                the funds. 
2.  Period Covered                                                    Column 4:  Owners Account, Certificate, or Policy Num-
   Enter the period covered by the report in the from and to                    ber .: 
   lines. Use the date format mm/dd/ccyy.                                       Enter any identifying numbers of the unclaimed 
3.  Report Year                                                                 funds submitted. For example, owner account 
   Enter the report year applicable to this report.                             numbers, check numbers, account certificates 
4.  FEIN, SSN, or ITIN                                                          or insurance policy numbers.
   Enter the FEIN, SSN, or ITIN of the holder.                        Column 5:  Date of Last Transaction
                                                                                Enter the date of last transaction. The “Date of 
Section 2                                                                       Last Transaction” is that of the last deposit or 
Aggregate Amount: Total  of  individual  owner  accounts                        withdrawal made by the owner.  The “date prop-
having identifiable owner information with a value less than                    erty became payable, demandable, or distribut-
$50.00, must be report individually,                                            able,” is, for example, the date a dividend became 
                                                                                payable, the note became payable, the date a 
Unknown Accounts: Total and list all unknown accounts                           check or draft was issued. If payable on demand, 
where there is no identifying owner information (e.g., no name,                 the date the instrument was issued should be 
address, social security number or other identifying number)                    used. For savings certificates with an automatic 
regardless of amount.                                                           rollover, use the date following the first maturity. 
                                                                                The date of computer conversion or crediting of 
Column 1:  Owner Name (list alphabetically)                                     interest or dividends by the holder shall not be 
                Enter owner’s last name, first name, middle name                used as the date of last transaction.
                or initial. Use one block for each owner’s name. If   Column 6: Relation Code
                there is joint ownership of the securities, list both           For each name listed, indicate:
                names within the same block. If owner name is                   Sole Owner - SO
                unavailable, enter “Unknown”.                                   Beneficiary - BF or 
                                                                                Joint - JT.
                (A) If a single item has two or more owners, the      Column 7: Amount (Principal + Dividend + Interest)
                names and addresses of all must be shown along                  The unclaimed amount includes accrued interest, 
                with the relationship (e.g., “Trustee”, “or”, “and”,            dividends, profit distribution, payment on principal 
                etc.). If the owners have the same address, the                 or other sum held or owed to the owner less any 
                address may be entered one time next to the first               lawful claims.
                name.
                (B) When reporting certified or cashiers checks, 



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RPD-41202
Rev. 02/27/2024                New Mexico Taxation and Revenue Department
                             List of Owners of Unclaimed Property
                                               Instructions

Column 8: Property Type Codes
                Enter the proper property type code correspond-
                ing to the description of funds as listed on the 
                Unclaimed Property Retention  Period and Prop-
                erty Type Codes Schedule. The number to the 
                right of the property type indicates the number of 
                years of inactivity after which the account should 
                be reported as unclaimed. 

You may photocopy this form as needed to complete 
your annual report.

If you have any questions please contact the Unclaimed 
Property Office at:

 New Mexico Taxation & Revenue Department
                Unclaimed Property Office
                   P.O. Box 25123
                Santa Fe, New Mexico 87504-5123
                Unclaimed.Property@tax.nm.gov
                   505-827-0668






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