Blank Arizona 652 PDF Form

Blank Arizona 652 PDF Form

The Arizona 652 form is a document used to report abandoned property to the Arizona Department of Revenue. This form provides essential information about the property and its owners, ensuring that unclaimed assets are properly managed. If you need to fill out this form, click the button below to get started.

The Arizona 652 form, officially known as the Report of Abandoned Property, is a crucial document for individuals and businesses that handle unclaimed property in the state. This form is administered by the Arizona Department of Revenue's Unclaimed Property Section and serves as a means for holders to report any property that has remained unclaimed for a specified period. Key components of the form include detailed information about the holder, such as the holder's name and federal employer identification number, as well as specifics about the unclaimed property itself. Each entry requires essential data, including the owner's name, mailing address, and tax identification number, ensuring that rightful owners can be located. Additionally, the form addresses multiple owners by allowing for additional entries, which may include co-owners or beneficiaries. The Arizona 652 form also captures financial details such as the cash amount remitted, interest rates, and the last activity date associated with the property. Accurate completion of this form is imperative, as it facilitates the proper handling of unclaimed assets and ensures compliance with state regulations.

Document Sample

ARIZONA FORM Arizona Department of Revenue • Unclaimed Property Section

652 REPORT OF ABANDONED PROPERTY - SCHEDULE A

HOLDER NAME

Federal Employer Indenti

Grand Total Remitted

$

Item no.

Account #

 

 

 

 

 

Check #

 

 

 

 

 

NAUPA property type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash amount remitted

 

 

 

Interest rate

 

 

 

 

 

 

Last activity date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner’s last name

 

 

 

Owner’s first name / middle initial

Owner’s mailing address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, ZIP code

 

 

 

Country

 

Owner’s Tax ID (SSN or EIN)

Owner’s date of birth

NAUPA relationship code

 

 

 

 

 

 

 

 

 

 

 

Fee/Drilling cost

No.of shares remitted

 

Security/Mutual Fund name

 

 

CUSIP no.

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE THE FIELDS BELOW IF THERE IS MORE THAN ONE OWNER FOR THIS PROPERTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name / middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name

/ middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item no.

Account #

 

 

 

 

 

Check #

 

 

 

 

 

NAUPA property type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash amount remitted

 

 

 

Interest rate

 

 

 

 

 

 

Last activity date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner’s last name

 

 

 

Owner’s first name / middle initial

Owner’s mailing address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, ZIP code

 

 

 

Country

 

Owner’s Tax ID (SSN or EIN)

Owner’s date of birth

NAUPA relationship code

 

 

 

 

 

 

 

 

 

 

 

Fee/Drilling cost

No.of shares remitted

 

Security/Mutual Fund name

 

 

CUSIP no.

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE THE FIELDS BELOW IF THERE IS MORE THAN ONE OWNER FOR THIS PROPERTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name / middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name

/ middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAGE OF

ADOR 11017 (8/11)

File Specifics

Fact Name Description
Form Purpose The Arizona 652 form is used to report unclaimed property to the Arizona Department of Revenue.
Governing Law This form is governed by Arizona Revised Statutes (ARS) Title 44, Chapter 3, which outlines unclaimed property laws.
Filing Frequency Holders must file the Arizona 652 form annually, typically by November 1st of each year.
Required Information Information such as owner names, last activity dates, and property types must be included in the report.
Multiple Owners The form accommodates reporting for multiple owners of a single property, ensuring all relevant details are captured.
Submission Method The completed Arizona 652 form can be submitted electronically or via mail, depending on the holder's preference.
Penalties for Non-Compliance Failure to file the Arizona 652 form on time may result in penalties, including fines and interest on unreported amounts.

How to Use Arizona 652

Filling out the Arizona 652 form is an important step in reporting unclaimed property. After completing the form, you will need to submit it to the Arizona Department of Revenue's Unclaimed Property Section. This process ensures that any abandoned property is properly reported and can be claimed by rightful owners or their heirs.

  1. Begin by entering the Holder Name in the designated field.
  2. Provide your Federal Employer Identification Number (EIN).
  3. In the Grand Total Remitted section, input the total amount of unclaimed property being reported.
  4. For each item, fill in the following details:
    • Item No.
    • Account #
    • Check #
    • NAUPA Property Type
    • Cash Amount Remitted
    • Interest Rate
    • Last Activity Date
    • Owner’s Last Name
    • Owner’s First Name / Middle Initial
    • Owner’s Mailing Address
    • City, State, ZIP Code
    • Country
    • Owner’s Tax ID (SSN or EIN)
    • Owner’s Date of Birth
    • NAUPA Relationship Code
    • Fee/Drilling Cost
    • No. of Shares Remitted
    • Security/Mutual Fund Name
    • CUSIP No.
    • Date of Death
  5. If there are additional owners for the property, complete the fields for each additional owner:
    • Additional Owner’s Last Name
    • Additional Owner’s First Name / Middle Initial
    • Additional Owner’s Tax ID (SSN or EIN)
    • Relationship Code
    • Additional Owner’s Date of Birth
    • Additional Owner’s Date of Death
    • Other Information Available
  6. Repeat the previous step for any further additional owners as needed.

Once you have filled out all required fields, review the form for accuracy. Make sure all information is complete and correct before submission. This will help ensure a smooth process in handling the unclaimed property.

Your Questions, Answered

What is the Arizona 652 form?

The Arizona 652 form, also known as the Report of Abandoned Property - Schedule A, is used by holders to report unclaimed property to the Arizona Department of Revenue. This form provides essential information about the property, including details about the owner and the type of property being reported.

Who needs to file the Arizona 652 form?

Any business or individual holding unclaimed property that meets certain criteria must file the Arizona 652 form. This includes financial institutions, insurance companies, and other entities that manage accounts or assets that have not had any activity for a specified period.

What information is required on the form?

The form requires various details, including:

  • Holder name and federal employer identification number
  • Owner's name, address, and tax identification number
  • Property type and cash amount remitted
  • Last activity date and interest rate
  • Details of any additional owners, if applicable

What happens if I don’t file the Arizona 652 form?

Failure to file the Arizona 652 form may result in penalties. The Arizona Department of Revenue can impose fines or take legal action against holders who do not comply with reporting requirements.

How do I submit the Arizona 652 form?

The Arizona 652 form can typically be submitted online through the Arizona Department of Revenue's website. Alternatively, you may print the form and mail it to the appropriate department. Ensure you follow the submission guidelines outlined by the department.

Is there a deadline for filing the Arizona 652 form?

Yes, there is a deadline for filing the form. Holders must submit the Arizona 652 form by November 1st each year for property that has been abandoned for the previous year. It is crucial to stay aware of these dates to avoid penalties.

Can I amend a previously submitted Arizona 652 form?

Yes, if you need to make changes to a previously submitted Arizona 652 form, you can file an amended report. Be sure to clearly indicate that it is an amendment and provide the necessary corrections.

What types of property must be reported on the Arizona 652 form?

The Arizona 652 form covers various types of unclaimed property, including:

  • Bank accounts
  • Uncashed checks
  • Insurance policies
  • Stocks and bonds
  • Safe deposit box contents

Where can I find more information about the Arizona 652 form?

For more details, you can visit the Arizona Department of Revenue's website. They provide comprehensive resources, including guidelines, FAQs, and contact information for further assistance.

Common mistakes

  1. Incomplete Information: Failing to provide all required details can lead to delays or rejection. Ensure every field is filled out accurately.

  2. Incorrect Owner Information: Mistakes in the owner's name, address, or Tax ID can complicate the process. Double-check these details before submission.

  3. Missing Signatures: Omitting signatures can invalidate the form. Remember to sign and date where necessary.

  4. Wrong Property Type: Selecting the incorrect NAUPA property type may lead to confusion. Familiarize yourself with the different categories.

  5. Ignoring Additional Owners: If there are multiple owners, all must be listed. Failing to do so can result in complications.

  6. Inaccurate Financial Details: Ensure that the cash amount remitted and other financial figures are correct. Errors can cause significant issues.

  7. Neglecting Dates: Missing or incorrect dates, such as the owner's date of birth or last activity date, can cause problems. Pay close attention to these entries.

  8. Not Following Instructions: Each section of the form has specific instructions. Not adhering to these can lead to misunderstandings.

  9. Using Outdated Forms: Always use the most current version of the Arizona 652 form. Outdated forms may not be accepted.

  10. Forgetting to Keep Copies: Always make copies of your completed form and any supporting documents. This can be helpful for future reference.

Documents used along the form

The Arizona 652 form is essential for reporting abandoned property. However, several other forms and documents often accompany it to ensure compliance and thoroughness. Below is a list of these related documents, each serving a specific purpose in the process.

  • Arizona 653 Form: This form is used to report unclaimed property that is not cash. It includes details about items like stocks, bonds, and other securities, providing a comprehensive view of all abandoned assets.
  • Arizona 654 Form: This document is for reporting unclaimed property held by a business. It requires information about the business entity, including its name, address, and the types of property it holds.
  • Owner Verification Form: This form helps verify the identity of the owner of the unclaimed property. It may request personal information and documentation to confirm ownership before property is returned.
  • Claim Form: Individuals seeking to reclaim their property will need to fill out this form. It gathers necessary information to process claims efficiently and accurately.
  • Affidavit of Heirship: When property is inherited, this affidavit establishes the rightful heirs. It provides legal proof of the relationship between the deceased and the heirs claiming the property.
  • Notice of Abandonment: This document is used to notify property owners about the status of their assets. It serves as a reminder that certain properties may be deemed abandoned if not claimed in a timely manner.

These documents work together to facilitate the reporting and claiming of abandoned property in Arizona. Understanding each form's role can help streamline the process and ensure all necessary information is provided.

Similar forms

The Arizona Form 652, which reports abandoned property, shares similarities with the Uniform Unclaimed Property Act (UUPA). The UUPA serves as a guideline for states in managing unclaimed property. Like the Arizona 652 form, it requires detailed information about the owner, including names, addresses, and identification numbers. Both documents aim to ensure that unclaimed assets are reported and returned to rightful owners, promoting transparency and accountability in property management.

Another document similar to the Arizona 652 form is the NAUPA (National Association of Unclaimed Property Administrators) reporting guidelines. NAUPA provides a standardized format for reporting unclaimed property across various states. This is akin to the Arizona 652 in that it includes essential details such as owner information, account numbers, and property types. Both documents facilitate a uniform approach to handling unclaimed assets, making it easier for holders to comply with state regulations.

The IRS Form 1099 is also comparable to the Arizona 652 form. While primarily used for reporting income, it requires detailed information about individuals, including names, addresses, and tax identification numbers. Similar to the Arizona 652, the 1099 form ensures that accurate records are maintained for financial transactions. Both documents emphasize the importance of correct and thorough reporting to prevent issues with compliance.

The California Unclaimed Property Report shares characteristics with the Arizona 652 form. This report is designed to notify the state of unclaimed assets and requires similar information about the owner, such as names and addresses. Both documents aim to protect the rights of property owners and ensure that unclaimed assets are properly handled, fostering a sense of trust in the management of such properties.

The Florida Unclaimed Property Reporting Form is another document akin to the Arizona 652. This form collects information about unclaimed property, including owner details and property descriptions. Both forms serve the same purpose of reporting abandoned property to the state, ensuring that rightful owners have the opportunity to reclaim their assets. The structure and required information are notably similar, making compliance easier for holders in both states.

The Texas Unclaimed Property Report is similar to the Arizona 652 form in that it requires holders to report unclaimed assets with specific details about the owners. This includes names, addresses, and any relevant identification numbers. Both documents aim to streamline the process of unclaimed property reporting and ensure that assets are returned to their rightful owners, reflecting a commitment to protecting consumer rights.

The New York State Abandoned Property Report also bears resemblance to the Arizona 652 form. This report necessitates detailed owner information and the type of property being reported. Like the Arizona 652, it is designed to provide a clear process for reporting unclaimed assets, ensuring that property owners can reclaim their belongings. Both forms contribute to a standardized approach in managing unclaimed property across different jurisdictions.

The Illinois Unclaimed Property Report is another document similar to the Arizona 652 form. It requires detailed reporting of unclaimed assets and necessitates information about the property owner, including names and addresses. Both documents serve the same fundamental purpose of facilitating the return of unclaimed property to its rightful owners, highlighting the importance of accurate reporting in the unclaimed property process.

The Ohio Unclaimed Funds Report is comparable to the Arizona 652 form as well. This report requires holders to provide detailed information about unclaimed property and its owners. Both forms emphasize the importance of thorough documentation and compliance with state regulations, ensuring that unclaimed assets are properly reported and that owners have the opportunity to reclaim their property.

Lastly, the Pennsylvania Unclaimed Property Report shares similarities with the Arizona 652 form. This document also requires detailed owner information and a description of the unclaimed property. Both reports serve to promote transparency and accountability in the handling of unclaimed assets, reinforcing the need for accurate reporting to protect the rights of property owners.

Dos and Don'ts

When filling out the Arizona 652 form, it's important to follow certain guidelines to ensure accuracy and compliance. Here are some key do's and don'ts:

  • Do provide complete and accurate information for all required fields.
  • Do double-check the spelling of names and addresses.
  • Do include all relevant Tax ID numbers for the owners.
  • Do ensure that the cash amounts and account numbers are correct.
  • Don't leave any required fields blank.
  • Don't use outdated information for the owners.
  • Don't forget to sign and date the form before submission.
  • Don't submit the form without reviewing it for errors.

Misconceptions

Understanding the Arizona 652 form is crucial for anyone dealing with unclaimed property. Unfortunately, several misconceptions exist that can lead to confusion. Here are nine common misconceptions about the Arizona 652 form, along with clarifications to help you navigate the process more easily.

  • It is only for businesses. Many people believe that only businesses need to file the Arizona 652 form. In reality, individuals can also have unclaimed property that requires reporting.
  • Filing is optional. Some think that submitting the form is optional. However, if you hold unclaimed property, you are legally required to report it.
  • Only cash can be reported. A common belief is that only cash amounts can be reported on the form. In fact, various types of property, including securities and mutual funds, must also be reported.
  • There is no deadline for filing. Many assume that they can file the form at any time. However, there are specific deadlines that must be adhered to, typically based on the last activity date of the property.
  • All information is optional. Some individuals think that they can skip fields on the form. It is essential to provide complete and accurate information to avoid penalties.
  • The form is only for properties older than a certain age. People often believe that only properties abandoned for several years need to be reported. In truth, any property that meets the criteria for abandonment must be reported, regardless of age.
  • Filing the form guarantees recovery of property. While filing is a necessary step, it does not guarantee that the property will be recovered. The process can involve additional steps after the form is submitted.
  • Once filed, no further action is needed. Some believe that after submitting the form, they can forget about it. However, follow-up may be necessary to ensure the property is processed correctly.
  • Only one owner can be listed. A misconception exists that only one owner can be reported on the form. In fact, the form allows for multiple owners to be listed, which is important for shared properties.

By addressing these misconceptions, you can approach the Arizona 652 form with greater confidence. Understanding your obligations and the nature of the property involved will help ensure compliance and facilitate the recovery process.

Key takeaways

When filling out the Arizona 652 form, it is essential to understand the requirements and the information needed. Here are key takeaways to consider:

  • Holder Information: Begin by providing your name and federal employer identification number. This identifies you as the holder of the unclaimed property.
  • Account Details: Include specific details such as the account number and check number associated with the unclaimed property.
  • Property Type: Specify the NAUPA property type, which categorizes the nature of the unclaimed property.
  • Owner Information: Complete the owner's details, including their last name, first name, mailing address, and tax identification number.
  • Date of Last Activity: Indicate the date of the last activity on the account. This helps establish the timeline for the property being considered abandoned.
  • Multiple Owners: If there is more than one owner for the property, ensure that all additional owner information is accurately filled out.
  • Cash Amount Remitted: Clearly state the cash amount being remitted along with any applicable interest rate.
  • Relationship Code: Use the NAUPA relationship code to clarify the relationship between the owner and the property.
  • Documentation: Keep a copy of the completed form and any supporting documents for your records. This can be useful for future reference or inquiries.

Completing the Arizona 652 form accurately is crucial for the proper handling of unclaimed property. Ensure that all required fields are filled out to avoid delays in processing.