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Statement Concerning Unclaimed Property
BD-81.5-V

This form must be completed by any person that holds unclaimed property and must remit it to us along with a statement containing a description of the property pursuant to the Unclaimed Property Act.

Note

Starting April 1, 2023, holders of unclaimed financial assets (UFAs) must use one of the following services in My Account for businesses to remit more than 10 UFAs:

the service for making remittances in a Web form; or
the service for making remittances in an XML file.

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Note

This form can be signed electronically.

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Note

To complete the form, save it to your computer and open it in Adobe Reader.

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Note

Our downloadable documents may not comply with Web accessibility standards. If you are having problems using them, please contact us.

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2022-12 version

Fillable PDF Document (161 KB) / BD-81.5-V / 2022-12 version

PDF Document (121 KB) / BD-81.5-V / 2022-12 version

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