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AZ.gov Arizona's Official Website Agency Name Goes Here, Agencies may also load an image of thier logo
Agency Name AZ.gov Arizona's Official Web Site
Our Mission - To efficiently and effectively collect, safeguard, and distribute Unclaimed Property to the rightful owners.

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Unclaimed Property

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Forms
All forms are in PDF format. If you don't have acrobat reader please download it here.

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Unclaimed Property Report (ADOR 17-2006)      
 
 
Report of Abandoned Property Verification and Checklist (ADOR 17-2004)      
 
 
Unclaimed Property Report Schedule A
(ADOR 17-20042)
     
 
 
Negative Report of Unclaimed Property
(ADOR 17-2009)
     
 
 
Holder Reimbursement Request Form
(ADOR 17-2022)
     
 
 
Unclaimed Property Disclosure /Representation Authorization Form (285)      
 
 
Reporting Securities      
 
 
 
Electronic Reporting        
 
 
Remitting Safekeeping items