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Reporting Forms and Holder Refund Request Form Unclaimed Property Reporting Forms may be printed below using either Microsoft Word (Microsoft Excel for ASD-127 [Abandoned Tangible Personal Property]) or Adobe Reader 5.0 or above. Once printed, using legal size 8.5 x 14 paper for all reporting forms except the ASD-127 which is standard 8.5 x 11, complete the form and mail it to the address listed on the form.
NOTE: An ASD-159 or ASD-159G (Report of Unclaimed Property Verification and Checklist) must be completed, notarized, and submitted with any remittance (cash, securities, or tangible).
| In lieu of printing forms, we are requesting that holders submit their report via diskette in the specified NAUPA standard electronic file format. The NAUPA format and electronic reports may be obtained free of charge at Wagers.net. Please submit a hard copy of your report along with the diskette for internal control purposes. | |
Holders requesting a refund for funds submitted in error or refunded to owners should complete a Holder Refund Request Form (click link). Once printed, using standard 8.5 x 11 paper, complete the form and mail it to the address listed on the form. Don't forget to include documentary evidence when submitting refund request.
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To receive forms through normal mail or instructions on how to complete forms, please contact our office:
NC Department of State Treasurer
Unclaimed Property Program
325 North Salisbury Street
Raleigh, NC 27603-1385
Phone - (919) 508-1000
Fax - (919) 508-5181
Email - unclaimed.property@nctreasurer.com |