Enlarge image | 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 |
Enlarge image | 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, |
Enlarge image | 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 |