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RPD-41203
Rev. 02/27/2024 New Mexico Taxation and Revenue Department
List of Owners of Unclaimed Stocks and Other Securities
Instructions
Use this form to report all classes of stocks and undeliver- provide the date payable. For unexchanged
able, unexchanged, underlying, and other presumed un- shares of a successor corporation, provide the ef-
claimed securities. Unclaimed securities should be listed in fective date when shares of the merged/acquired
alphabetical order by issuer name, including CUSIP number corporation where exchanged. If the security is
or account number. Cash dividends and other cash related an underlying share, enter the issue date of the
items are to be reported on Form RPD-41203, List of Owners earliest uncashed dividend check as the date of
of Unclaimed Property. last transaction.
Column 7: Description of Securities
Page Number Pages should be numbered consecutively Identify the securities being reported by type
(e.g., page 1 of 24; 2 of 24) at the top of the form. Page totals class, such as common, preferred or registered
are to be entered on each page and the grand total for column bond.
5 should be entered on the last page. Column 8: Property Type Codes
Enter the proper property type code correspond-
Section 1 ing to the description of funds as listed on the
1. Name of Holder Retention Period and Property Type Codes
Enter the name of the holder. Schedule. The property type codes MUST be
2. Period Covered listed for all securities report on this form. The
Enter the period covered by the report in the from and to number to the right of the property type indicates
lines. Use the date format mm/dd/ccyy. the number of years of inactivity after which the
3. Report Year account should be reported as unclaimed.
Enter the report year applicable to this report.
4. FEIN, SSN, or ITIN Column 9: Owner Class Code: Enter the following codes: SO
Enter the FEIN, SSN, or ITIN of the holder. - Sole Owner; JT - Joint Owner; B - Beneficiary.
Section 2 You may photocopy this form as needed to complete
Column 1: Issuer/CUSIP Number your annual report.
Enter the name of the entity which issued the
securities. If more than one issuer is being re- If you have any questions please contact the Unclaimed
ported, list the issuers’ names in alphabetical Property Office at:
order. Account number or Certificate Number:
Enter CUSIP and account number for certificate New Mexico Taxation & Revenue Department
report. Unclaimed Property Office
Column 2: Owner Name P.O. Box 25123
List alphabetically Use owner’s last name, first Santa Fe, New Mexico 87504-5123
name, middle name or initial. Use one block for Unclaimed.Property@tax.nm.gov
each owner’s name. If there is joint ownership of 505-827-0668
the securities, list both names within the same
block. If owner name is unavailable, enter, “Un-
known”.
Column 3: Last Known Address
Enter last known address of the owner, benefi-
ciary, payee or trustee as shown on your records,
even though mail has been returned from such
address. If the address is unknown, enter “Un-
known”.
Column 4: FEIN, SSN, or ITIN
Enter the FEIN, SSN, or ITIN of each owner of
the funds.
Column 5: Number of Shares
Indicate the number of shares owned by each
owner.
Column 6: Date of Last Transaction
Enter the date on which the property became
payable, redeemable or returnable. For report-
able shares from stock dividends and stock splits,
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