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Free Arizona 650A Form

The Arizona 650A form is a document used to report abandoned property to the Arizona Department of Revenue. This form is crucial for entities holding unclaimed property, ensuring compliance with state regulations. By submitting the 650A form, holders can help reunite owners with their lost assets while fulfilling their legal obligations.

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Dos and Don'ts

When filling out the Arizona 650A form, it is essential to follow specific guidelines to ensure accuracy and compliance. Below is a list of things to do and not to do.

  • Do provide the correct Entity Name and Federal ID Number.
  • Do include all required contact information for both the entity and customer contacts.
  • Do attach a true and correct list of individual owners and properties as required.
  • Do review the State of Arizona payment protocols before submission.
  • Don't aggregate properties under $50 in your report.
  • Don't forget to send written notice to the owners of all reported properties.
  • Don't submit the form without verifying that all information is complete and accurate.
  • Don't ignore the signature and date requirement; both are necessary for validation.

Key takeaways

Here are some key takeaways about filling out and using the Arizona 650A form:

  • Understand the Purpose: The Arizona 650A form is used to report abandoned property, such as unclaimed funds or securities.
  • Identify the Correct Form: If you are remitting securities or safe deposit box contents, use Arizona Form 650B or 650C, respectively.
  • Provide Accurate Information: Include the entity name, federal ID number, and state/date of incorporation. Make sure this information is current and correct.
  • Contact Information: Designate a contact person for questions from the Arizona Department of Revenue. Include their name, title, and direct contact details.
  • Summarize the Report: Clearly state the total amounts of properties under $50, over $50 with known owners, and those with unknown owners.
  • Attach Required Documentation: Include a true and correct list of individual owners and properties as Schedule A, as required by law.
  • Review Payment Protocols: Familiarize yourself with Arizona's payment protocols to ensure accurate payments to reported owners.
  • Certification of Accuracy: Sign the form to certify that the information provided is true and complete. This declaration is important for legal compliance.

By following these guidelines, you can effectively navigate the process of reporting unclaimed property in Arizona.

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What is the Arizona 650A form used for?

The Arizona 650A form is a report of abandoned property, which must be filed with the Arizona Department of Revenue. This form is used by entities to report unclaimed property that they hold on behalf of others. It is essential for ensuring that owners of unclaimed property can reclaim their assets.

Who needs to file the Arizona 650A form?

Any entity that holds unclaimed property, such as businesses, banks, or insurance companies, is required to file the Arizona 650A form. This includes organizations that have property that has been abandoned or unclaimed for a certain period, typically three to five years, depending on the type of property.

What information is required on the form?

The Arizona 650A form requires several key pieces of information, including:

  • Entity name and Federal ID number
  • State and date of incorporation
  • Contact person details
  • Summary of abandoned property, including amounts for properties under and over $50
  • Certification of authority to execute the report

Additionally, a true and correct list of individual owners and properties must be attached as Schedule A.

What are the penalties for not filing the Arizona 650A form?

Failure to file the Arizona 650A form can result in penalties, which may include fines and legal repercussions. The state may impose additional interest on the unreported amounts. It is crucial to comply with reporting requirements to avoid these penalties.

How do I submit the Arizona 650A form?

The completed Arizona 650A form must be submitted to the Arizona Unclaimed Property Section. You can mail it to the following address:

Arizona Unclaimed Property Section
1600 West Monroe Street
Phoenix, AZ 85007

Make sure to keep a copy of the submitted form for your records.

Can I file the Arizona 650A form online?

Currently, the Arizona Department of Revenue provides reporting software available for free download on their website. This software can facilitate the completion and submission of the Arizona 650A form. However, ensure you check the website for any updates regarding online filing options.

What should I do if I have questions about the Arizona 650A form?

If you have questions regarding the Arizona 650A form, you can contact the Arizona Department of Revenue directly. The contact person listed on your form can assist with inquiries. Additionally, the Department's website contains resources and guides that may help clarify any uncertainties.

Documents used along the form

The Arizona 650A form is essential for reporting abandoned property to the Arizona Department of Revenue. However, it is often used alongside other important documents that help facilitate the reporting process. Below is a list of these forms and documents, each serving a specific purpose in the overall procedure.

  • Arizona Form 650B: This form is used for reporting securities that are considered abandoned. It provides details about the specific securities being reported and ensures compliance with state regulations.
  • Arizona Form 650C: When reporting contents of safe deposit boxes, this form is required. It captures information about the items within the box and helps in the identification of rightful owners.
  • Schedule A: This is a detailed list of individual owners and their properties being reported. It must be attached to the 650A form to provide clarity and support for the claims being made.
  • Owner Notification Letter: A written notice sent to the owners of reported properties, informing them that their property is being reported as abandoned. This letter is crucial for transparency and compliance with state laws.
  • Payment Protocols Documentation: This document outlines the payment processes and protocols established by the Arizona Department of Revenue. It ensures that the reporting entity understands how to handle payments to owners.
  • Unclaimed Property Reporting Manual: This manual provides guidelines and instructions for entities reporting unclaimed property. It serves as a comprehensive resource for understanding the reporting process.
  • Authority Certification: A statement or document certifying that the individual completing the report has the authority to do so on behalf of the reporting entity. This adds legitimacy to the submission.
  • Federal ID Number Documentation: This includes any necessary documentation proving the entity’s federal identification number, which is essential for accurate reporting.
  • Contact Information Form: This form collects contact details for the individual responsible for the report. It allows the Arizona Department of Revenue to reach out with any questions or clarifications.
  • State/Date of Incorporation Documentation: This document verifies the state and date of incorporation for the reporting entity. It is important for establishing the entity's legal status.

Understanding these forms and documents is crucial for anyone involved in the reporting of unclaimed property in Arizona. Proper completion and submission of these documents help ensure compliance with state regulations and facilitate the return of abandoned property to its rightful owners.

Document Sample

ARIZONA FORM Arizona Department of Revenue • Unclaimed Property Section

 

 

650A

REPORT OF ABANDONED PROPERTY

 

 

 

DATE STAMP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you are remitting securities, please use Arizona Form 650B

 

 

 

 

If you are remitting safe deposit box contents, please use Arizona Form 650C

 

1

 

Entity Name (Holder)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Federal ID Number

 

 

State/Date of Incorporation

Report Type

 

 

 

 

 

 

Annual Report

Life Insurance

 

 

Prior Name - If Entity Name has changed

 

Previous Holder - If you are a successor to a previous holder

 

 

 

 

 

 

 

 

 

Contact Person - For questions from staff members of the Arizona Department of Revenue

Name

Title

Direct Telephone Number

E-mail Address

Mailing Address

City

State

ZIP code

2

Customer Contact (for use by owners of reported property)

 

Name

Same

 

Telephone Number

 

E-Mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

Summary of Abandoned Property Report

 

Total amount of properties under $50

 

 

In order to facilitate customer service, we request that, when possible,

$

 

 

you do not aggregate these funds in your report.

 

 

 

Total amount of properties over $50 with known owners

Total amount of properties with unknown owners

Total amount of report

 

$

 

$

 

$

 

 

 

 

 

 

 

 

 

 

 

 

44a. I have attached a true and correct list (Schedule A) of individual owners and properties, in accordance with A.R.S. § 44-307(B). Reporting software is available for free download on our website www.azunclaimed.gov.4b. I have reviewed and understand the State of Arizona payment protocols (see Arizona Unclaimed Property Reporting Manual)

The relationship codes reported for each property will allow accurate payment to the reported owners.

4c. Written notice has been sent to the owners of all properties being reported/remitted in accordance with A.R.S. § 44-307(E).

5I hereby certify that I have the authority to execute this report of Unclaimed Property on behalf of the above named holder. I declare under penalty of perjury that the foregoing information, the information set forth in the schedules, and all documentation I have or will provide is true and complete.

Print Name

Signature

Date

Mailing address: Arizona Unclaimed Property Section 1600 West Monroe Street, Phoenix, AZ 85007

FOR DEPARTMENT USE ONLY

Deposit No.

Receipt No.

Holder No.

Check No.

Check Amount

Report No.

ADOR 10755 (8/11)

Guidelines on How to Fill Out Arizona 650A

Completing the Arizona 650A form is an essential step for reporting abandoned property. This form requires specific information about the entity holding the property, the owners of the reported property, and a summary of the abandoned property itself. Follow the steps below to accurately fill out the form.

  1. Entity Information: Begin by entering the name of the entity (holder) and its Federal ID Number. Include the state and date of incorporation, as well as the report type (Annual Report or Life Insurance).
  2. Prior Names: If the entity name has changed, provide the previous name. If you are a successor to a previous holder, list the previous holder's name.
  3. Contact Person: Fill in the contact person's name, title, direct telephone number, email address, and mailing address, including city, state, and ZIP code.
  4. Customer Contact: Provide the name of the customer contact for owners of reported property, along with their telephone number and email address.
  5. Summary of Abandoned Property: Enter the total amount of properties under $50. It is recommended to report these amounts separately rather than aggregating them.
  6. Next, record the total amount of properties over $50 with known owners and the total amount of properties with unknown owners.
  7. Calculate the total amount of the report and enter that figure.
  8. Attachments: Confirm that you have attached a true and correct list (Schedule A) of individual owners and properties as required by A.R.S. § 44-307(B).
  9. Review Payment Protocols: Acknowledge that you have reviewed the State of Arizona payment protocols as outlined in the Arizona Unclaimed Property Reporting Manual.
  10. Owner Notification: Ensure that written notice has been sent to the owners of all properties being reported, in accordance with A.R.S. § 44-307(E).
  11. Certification: Certify that you have the authority to execute this report on behalf of the holder. Print your name, sign the form, and include the date.
  12. Mailing Address: Send the completed form to the Arizona Unclaimed Property Section at 1600 West Monroe Street, Phoenix, AZ 85007.

Common mistakes

Filling out the Arizona 650A form can be a straightforward process, but many people still make common mistakes that can lead to delays or complications. One frequent error is failing to provide the correct entity name. The name must match the official records exactly. A simple typo or omission can cause the form to be rejected.

Another common mistake involves the Federal ID Number. Some filers either leave this section blank or enter an incorrect number. This number is essential for identifying the entity and ensuring proper processing. Double-checking this information can save time and prevent issues down the line.

Many individuals also overlook the contact information section. Providing a clear name, title, and direct telephone number is crucial. If the Arizona Department of Revenue has questions, they need to reach the right person quickly. An incomplete or incorrect contact can lead to unnecessary back-and-forth communication.

When it comes to reporting the amounts of abandoned property, mistakes often occur in the summary section. Filers sometimes aggregate amounts under $50, which the form specifically advises against. Each amount should be reported separately to facilitate customer service and ensure accurate records.

Additionally, some people fail to attach the required Schedule A listing individual owners and properties. This attachment is necessary to comply with Arizona law. Without it, the report may be considered incomplete, leading to potential penalties.

Reviewing the payment protocols is another step that is frequently neglected. Filers should take the time to understand these protocols to ensure accurate payments to reported owners. Ignoring this can result in misdirected payments or additional complications.

Some individuals do not send the required written notice to owners of the properties being reported. This notice is a legal requirement under Arizona law. Failing to provide this notification can lead to disputes and further inquiries from the state.

Finally, the certification section is often mishandled. Filers may forget to sign the form or provide the date. This oversight can render the entire report invalid, causing delays in processing. Always ensure that the form is signed and dated before submission.

By paying attention to these common mistakes, individuals can ensure a smoother filing process for the Arizona 650A form. Taking the time to review each section carefully can prevent headaches and ensure compliance with state regulations.