Fill Out a Valid Oklahoma Unclaimed Property 496 Up Form Create This Oklahoma Unclaimed Property 496 Up Now

Fill Out a Valid Oklahoma Unclaimed Property 496 Up Form

The Oklahoma Unclaimed Property 496 Up form serves as a verification and checklist for holders of unclaimed property in Oklahoma. This form, issued by the Oklahoma State Treasurer's Unclaimed Property Division, requires detailed information about the reporting company and the unclaimed assets held. Accurate completion of this form is essential for compliance with state law and to facilitate the proper handling of unclaimed property.

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The Oklahoma Unclaimed Property 496 Up form serves as a crucial tool for businesses and organizations in reporting unclaimed property to the state. This form, administered by the Oklahoma State Treasurer's Unclaimed Property Division, requires detailed information regarding the holder company, including its name, state of incorporation, and any previous names or addresses. The form includes a comprehensive checklist that must be completed prior to filing, ensuring that all relevant property types are reported accurately. Various categories of unclaimed property, such as bank accounts, insurance benefits, and uncashed checks, are outlined, each accompanied by specific codes and abandonment periods. The form also emphasizes the importance of verifying the report's accuracy, requiring the holder to attest to its completeness under oath. By following the guidelines set forth in this form, organizations can fulfill their legal obligations while helping to reunite individuals with their lost or forgotten assets.

Sample - Oklahoma Unclaimed Property 496 Up Form

Form Number 496-UP -Revision 07072025
OKLAHOMASTATETREASURERUNCLAIMEDPROPERTYDIVISION
REPORTOFUNCLAIMEDREPORT–VERIFICATIONANDCHECKLIST
*
Verification for Period Ended _____ __________, _ .
Provide the name of the holder company reporting for the period indicated. List the prior name(s), FEI(s), or address (es) if the company has had a
change in these items during the period in which it has held the property being reported.
Name ________________________________________________________ State of Incorporation______________________________________
_____________________________________________________________ Date of Incorporation _______________________________________
Address ______________________________________________________ Federal Employer ID#_______________________________________
_____________________________________________________________
Every person, corporation, or other business association, banking or financial organization, life insurance corporation, utility, court or public authority
must complete the following checklist before filing their Oklahoma Unclaimed Property Report. This checklist includes by way of illustration, but not
limitation, those items, which are covered by Sections of the Oklahoma Unclaimed Property Law.
Please complete the checklist by indicating the items being reported. A “Yes” must be enumerated on Unclaimed Property Form 497-UP-2.
Property Type Codes and Abandonment Periods
AccountBalancesDue
Yes No CodeDescription Yr YesNo CodeDescription Yr
___ ___ AC01 CheckingAccounts 5 ___ ___ AC06SecurityDeposits 5
___ ___ AC02 SavingsAccounts 5 ___ ___ AC07Unidentified Deposits 5
___ ___ AC03 MaturedCDorSavingCertificate 5 ___ ___ AC08SuspenseAccounts 5
___ ___ AC04 ChristmasClubFunds 5 ___ ___ AC99AggregateAccountBalances 5
___ ___ AC05 MoneyonDeposittoSecureFund 5
CourtDeposits
___ ___ CT01 EscrowFunds 1 ___ ___ CT04SuspenseAccounts 1
___ ___ CT02 CondemnationAwards 1 ___ ___ CT05OtherCourtDeposits 1
___ ___ CT03 MissingHeirs’Funds 1 ___ ___ CT99AggregateCourtDeposits 1
EducationSavingsPlan
___ ___ CS01 SavingsAccounts–Cash 5 ___ ___ C02SavingsAccount–MutualFund 5
___ ___ CS03 SavingsAccounts‐Securities 5
HealthSavingsPlan
___ ___ HS01 HealthSavingsAccount 5 ___ ___ HS02SuspenseAccounts 5
Insurance
______ IN01IndividualPolicyBenefitsorClaimPayments 5 ___ ___ IN06UnidentifiedRemittances 5
______ IN02 GroupPolicyBenefitsorClaimPayment 5 ___ ___ IN07OtherAmountsDueUnderPolicyTerms 5
___ ___ IN03ProceedsDueBeneficiaries 5 ___ ___ IN08AgentCreditBalances 5
______ IN04 ProceedsfromMaturedPolicies, 5 ___ ___ IN09ProceedsfromDemutualization  2
Endowments,orAnnuities ___ ___ IN10SharesofStockfromDemutualization 2
______ IN05PremiumRefunds 5 ___ ___ IN99AggregateInsuranceProperty 5
IRA’S(TRADITIONAL/ROTH)
______ IR01TraditionalIRA–Cash 7** ______ IR05RothIRA–Cash 7**
______ IR02 TraditionalIRA–MutualFund 7** ______ IR06RothIRA–MutualFunds 7**
___ ___ IR03TraditionalIRA–Securities 7** ______ IR07RothIRA–Securities 7**
**IRA’sarereportable7yearsaftertheparticipanthasattainedtheageof72.
MineralProceedsandMineralInterests
___ ___ MI01 NetRevenueInterest 5 ___ ___ MI06 Bonuses 5
___ ___ MI02 Royalties 5 ___ ___ MI07 DelayRentals 5
___ ___ MI03 OverridingRoyalties 5 ___ ___ MI08 Shut‐InRoyalties 5
___ ___ MI04 ProductionPayments ______ MI09 MinimumRoyalties 5
___ ___ MI05 WorkingInterest 5
MiscellaneousChecksandIntangiblePersonalProperty
___ ___ MS01 Wages,Payroll,andSalary 1 ___ ___ MS11RefundsDue 5
___ ___ MS02 Commissions 5 ___ ___ MS12UnredeemedGiftCertificates 5
___ ___ MS03 Worker’sCompensationBenefits 5 ___ ___ MS13UnclaimedLoanCollateral 5
___ ___ MS04 PaymentforGoodsandServices 5 ___ ___ MS14Pension& ProfitSharingPlans 7**
___ ___ MS05 CustomerOverpayments 5 ___ ___ MS15DissolutionorLiquidation 1
___ ___ MS06 UnidentifiedRemittances 5 ___ ___ MS16MiscOutstandingChecks 5
___ ___ MS07 Un‐refundedOvercharges 5 ___ ___ MS17MiscIntangible 5
___ ___ MS08 AccountsPayable 5 ___ ___ MS18SuspenseLiabilities 5
___ ___ MS09 CreditBalance‐AccountsReceivable 5 ___ ___ MS99AggregateMiscProperty 5
___ ___ MS10 DiscountsDue 5
SafeDepositBoxesandSafekeeping
______SD01 SafeDepositBoxContents 5 ___ ___ SD03 OtherTangibleProperty 5
______SD02 OtherSafekeeping 5
Securities
___ ___ SC01 Dividends 3 ___ ___ SC13 FundsforLiquidation/Redemption 3
___ ___ SC02 Interest(BondCoupons) 3 ofUn‐surrenderedStocksorBonds
___ ___ SC03 PrincipalPayments 3 ___ ___ SC14 Debentures 3
___ ___ SC04 EquityPayments 3 ___ ___ SC15 USGovernmentSecurities 5
___ ___ SC05 Profits 3 ___ ___ SC16 MutualFundShares  3
___ ___ SC06 FundsPaidtoPurchaseShares 3 ___ ___ SC17 Warrants(Rights) 3
___ ___ SC07 FundsforStocksandBonds 3 ___ ___ SC18 MaturedBondPrincipal 3
___ ___ SC08 SharesofStockReturnedbyPostOffice 3 ___ ___ SC19 DividendReinvestmentPlans 3
___ ___ SC09 CashforFractionalShares 3 ___ ___ SC20 CreditBalances 3
___ ___ SC10 Un‐exchangedStockofSuccessorCorp 3 ___ ___ SC21 CommonStock 3
___ ___ SC11 OtherCertificatesofOwnership 3 ___ ___ SC22 ConvertibleSecurities 3
___ ___ SC12 UnderlyingSharesorOther 3 ___ ___ SC23 PreferredSecurities 3
OutstandingCertificates ___ ___ SC24 FixedIncomeSecurities 3
___ ___ SC25 RealEstate‐BasedSecurities 3
Trust,Investment,andEscrowAccounts
___ ___ TR01 PayingAgentAccounts 5 ___ ___ TR04 EscrowAccounts 5
___ ___ TR02 UndeliveredorUncashedDividends 5 ___ ___ TR05 TrustVouchers 5
___ ___ TR03 FundsHeldinFiduciaryCapacity 7 ___ ___ TR99 AggregateTrustProperty 5
UncashedChecks
___ ___ CK01 Cashier’sChecks 5 ___ ___ CK10 ExpenseChecks  5
___ ___ CK02 CertifiedChecks 5 ___ ___ CK11 PensionChecks 5
___ ___ CK03 RegisteredChecks 5 ___ ___ CK12 CreditChecksorMemos  5
___ ___ CK04 Treasurer’sChecks 5 ___ ___ CK13 VendorChecks  5
___ ___ CK05 Drafts 5 ___ ___ CK14 ChecksWrittenOfftoIncome 5
___ ___ CK06 Warrants 5 ___ ___ CK15 OtherOutstandingOfficialChecks 5
___ ___ CK07 MoneyOrders 7 ___ ___ CK16 CDInterestChecks  5
___ ___ CK08 Traveler’sChecks 15 ___ ___ CK99 AggregateUncashedChecks 5
___ ___ CK09 ForeignExchangeChecks 5
Utilities
___ ___ UT01 UtilityDeposits 1 ___ ___ UT04 CapitalCreditDistribution 5
___ ___ UT02 MembershipFees 1 ___ ___ UT99 AggregateUtilityProperty 1
___ ___ UT03 RefundsorRebates 1
Pleaseindicatetheprimarybusinessactivityofyourcompany________________________________________________________________________
Didyoufileareportofunclaimedpropertylastyear:YES______NO______Ifno,pleaseexplain:_______________________________________
HolderContact:___________________________________________________________________TelephoneNumber:________________________
EmailAddress:______________________________________________________________________________________________________________
AlternateContactPerson:___________________________________________________________________TelephoneNumber:________________
Email
Address:_________________________________________________________________________________________________________________
Stateof___________________________________________________:
Countyof_________________________________________________:SS
I,_________________________________________________________________,beingfirstdulysworn,onoathdeposeandstatethatIhavecausedtobeprepared
andhaveexaminedthisreportconsisting of________pagestotaling$____________,______________shares,and____________safekeepingitemsastoproperty
presumedabandonedunder
theOklahomaUnclaimedPropertyLawfortheyearendingasstated,thatIamdulyauthorizedtoexecutethisverificationbytheholder
andbylawandthatIbelievethatsaidreportistrue,correctandcompleteasofsaiddate,exceptingforsuchpropertyashassinceceasedtobeabandoned.
Signature________________________________________________________________Title_________________________________________________
Subscribedandsworntobeforethis_______________dayof___________________________,_________________.
NotarySignature:_________________________________________________________________________________
MyCommissionExpiresthe__________________dayof_____________________________,_________________.
Mailcheckspayableto:(ACH/WireN/A)
OklahomaStateTreasurer
UnclaimedPropertyDivision
4841 N Sewell Ave
OklahomaCity,Oklahoma73118
Reporting:(405)521-2055

Form Properties

Fact Name Details
Form Number 496-UP
Revision Date 06/11/2013
Governing Law Oklahoma Unclaimed Property Law
Purpose of Form This form is used to report unclaimed property and includes a verification checklist.
Reporting Period Must specify the period ended for which the property is being reported.
Holder Information Requires the name, state of incorporation, and federal employer ID of the reporting company.
Checklist Requirement A checklist must be completed by all entities before filing the report.
Types of Property Includes various categories such as bank accounts, insurance benefits, and uncashed checks.
Submission Details Reports must be mailed to the Oklahoma State Treasurer Unclaimed Property Division.
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