Homepage Blank Arizona 650A Form
Outline

The Arizona 650A form is a crucial document for entities reporting abandoned property to the Arizona Department of Revenue. This form is primarily used by holders to disclose unclaimed assets, ensuring compliance with state regulations. It requires the entity's name, federal ID number, and incorporation details, alongside a report type designation, such as an annual report or life insurance. The form also requests contact information for both the reporting entity and the owners of the reported property, facilitating communication with the Department of Revenue. A summary section captures the total value of reported properties, distinguishing between those under and over $50, as well as identifying properties with known and unknown owners. Additionally, the form mandates the attachment of a true and correct list of individual owners and properties, along with a certification statement affirming the accuracy of the reported information. This certification is critical, as it is signed under penalty of perjury, underscoring the importance of transparency in the reporting process. Understanding and correctly completing the Arizona 650A form is essential for holders to avoid penalties and ensure that unclaimed property is handled properly.

Sample - Arizona 650A Form

1
2
3
4
$
$
$
$
5
ARIZONA FORM
650A
Entity Name (Holder)
E-Mail Address
4a. 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).
Name
Direct Telephone Number
Name
E-mail Address
Arizona Department of Revenue • Unclaimed Property Section
REPORT OF ABANDONED PROPERTY
DATE STAMP
Customer Contact (for use by owners of reported property)
Summary of
Abandoned Property Report
Telephone Number emaS
If you are remitting securities, please use Arizona Form 650B
If you are remitting safe deposit box contents, please use Arizona Form 650C
Total amount of properties over $50 with known owners
Total amount of report
,elbissop nehw ,taht tseuqer ew ,ecivres remotsuc etatilicaf ot redro nI05$ rednu seitreporp fo tnuoma latoT
you do not aggregate these funds in your report.
Total amount of properties with unknown owners
Print Name Signature Date
I 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.
State/Date of Incorporation
Previous Holder - If you are a successor to a previous holder
Report Type
Annual Report Life Insurance
Contact Person - For questions from staff members of the Arizona Department of Revenue
Title
Mailing Address
City State ZIP code
Federal ID Number
Prior Name - If Entity Name has changed
ADOR 10755 (8/11)
FOR DEPARTMENT USE ONLY
.oN redloH .oN tpieceR .oN tisopeD
.oN tropeR tnuomA kcehC .oN kcehC
Mailing address: Arizona Unclaimed Property Section 1600 West Monroe Street, Phoenix, AZ 85007

Form Information

Fact Name Description
Form Purpose The Arizona 650A form is used to report abandoned property to the Arizona Department of Revenue.
Governing Law This form is governed by Arizona Revised Statutes (A.R.S.) § 44-307.
Submission Requirement Entities must submit this report annually to comply with state regulations.
Contact Information The form requires contact details for both the holder and the customer, ensuring clear communication.
Property Summary Report includes a summary of abandoned properties, categorized by value and ownership status.
Attachments Schedule A must be attached, listing individual owners and properties as required by law.
Certification Requirement The signer certifies the accuracy of the information under penalty of perjury.
Additional Forms For securities or safe deposit box contents, use Arizona Forms 650B or 650C respectively.

Detailed Guide for Filling Out Arizona 650A

Completing the Arizona 650A form is an essential step for reporting unclaimed property. Follow these steps carefully to ensure that all required information is accurately provided. Once you finish filling out the form, you will need to submit it to the Arizona Department of Revenue along with any necessary attachments.

  1. Entity Information: Fill in the name of your entity (holder) in the first field. Next, provide your Federal ID Number and the state and date of incorporation. Indicate the type of report you are filing, such as an annual report or life insurance.
  2. Previous Information: If your entity name has changed, include the prior name. If you are the successor to a previous holder, list the previous holder's name here.
  3. Contact Person: Enter the name, title, direct telephone number, and email address of the person who can answer questions about this report. Also, provide the mailing address, city, state, and ZIP code for this contact.
  4. Customer Contact: Fill in the name, telephone number, and email address for customer contact, which will be used by owners of reported property.
  5. Summary of Abandoned Property Report: Report the total amount of properties under $50. It is recommended that you do not aggregate these funds. Next, provide the total amount of properties over $50 with known owners and the total amount of properties with unknown owners. Finally, calculate and enter the total amount of the report.
  6. Attachments: Confirm that you have attached a true and correct list (Schedule A) of individual owners and properties. This should comply with A.R.S. § 44-307(B).
  7. Payment Protocols: Acknowledge that you have reviewed the State of Arizona payment protocols as outlined in the Arizona Unclaimed Property Reporting Manual.
  8. Owner Notification: Certify that written notice has been sent to the owners of all properties being reported/remitted, in accordance with A.R.S. § 44-307(E).
  9. Certification: Finally, certify that you have the authority to execute this report. Print your name, sign, and date the form.
  10. Mailing Address: Send the completed form to the Arizona Unclaimed Property Section at 1600 West Monroe Street, Phoenix, AZ 85007.

Obtain Answers on Arizona 650A

  1. What is the Arizona 650A form?

    The Arizona 650A form is a report used by businesses and organizations to report abandoned property to the Arizona Department of Revenue. This form is specifically for reporting unclaimed property that does not include securities or safe deposit box contents, which are reported using forms 650B and 650C, respectively.

  2. Who needs to file the Arizona 650A form?

    Entities that hold unclaimed property, such as businesses, financial institutions, and other organizations, are required to file the Arizona 650A form. This includes any organization that has property owed to individuals that has remained unclaimed for a specified period, typically five years.

  3. What information is required on the form?

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

    • 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 accuracy and authority to report
  4. What is the deadline for filing the Arizona 650A form?

    The deadline for filing the Arizona 650A form is typically November 1st of each year. It is crucial for holders of unclaimed property to adhere to this deadline to avoid penalties or fines.

  5. What happens if I do not file the form?

    Failure to file the Arizona 650A form may result in penalties, including fines. Additionally, the state may take legal action to recover unclaimed property, which could complicate the process for both the holder and the rightful owners.

  6. Can I file the Arizona 650A form electronically?

    Yes, the Arizona Department of Revenue provides software for free download on their website to facilitate electronic filing of the Arizona 650A form. This option simplifies the reporting process and helps ensure accuracy.

  7. What should I do if I have questions about the form?

    If you have questions regarding the Arizona 650A form, you can reach out to the contact person listed on the form or visit the Arizona Department of Revenue's website. They provide resources and guidance for completing the form accurately.

  8. What is the significance of the property summary section?

    The property summary section is crucial as it categorizes the abandoned property into known and unknown owners, as well as those valued below or above $50. This information aids in the efficient processing of claims and helps the state manage unclaimed property effectively.

  9. What is the purpose of the certification on the form?

    The certification section of the Arizona 650A form requires the signer to affirm the accuracy of the information provided. This declaration under penalty of perjury ensures that the report is truthful and complete, which is essential for maintaining integrity in the reporting process.

Common mistakes

Filling out the Arizona 650A form can be a straightforward process, but there are several common mistakes that individuals and organizations often make. One frequent error is not providing the correct entity name. The name on the form must match the official name registered with the state. If there are discrepancies, it could delay processing or result in rejection of the form.

Another mistake involves the Federal ID Number. This number is crucial for identifying the holder of the property. Failing to include it or entering an incorrect number can lead to complications. It is essential to double-check this information before submission.

Many people overlook the contact person section. This area is vital for communication between the Arizona Department of Revenue and the reporting entity. Not providing a contact person or including incomplete details can hinder the resolution of any questions or issues that arise.

In the summary section, some filers incorrectly aggregate amounts under $50. The form requests that these smaller amounts be reported separately. Not following this guideline can create confusion and may result in a need for further clarification from the department.

Another common oversight is failing to attach the required Schedule A of individual owners and properties. This attachment is necessary to ensure that the report is complete and accurate. If it is missing, the report may be considered incomplete, leading to delays.

Additionally, some individuals neglect to review and understand the payment protocols outlined in the Arizona Unclaimed Property Reporting Manual. Familiarity with these protocols is essential for ensuring that payments are processed correctly and efficiently.

Writing and sending written notice to the owners of all reported properties is a requirement that is often overlooked. This step is crucial for compliance with state laws. Failure to provide this notice can lead to penalties or complications with the report.

Lastly, individuals sometimes forget to sign and date the form. This certification is a legal requirement, and without it, the report is invalid. It is important to ensure that all necessary signatures are in place before submission.

By being aware of these common mistakes, individuals and organizations can improve their chances of successfully completing the Arizona 650A form without unnecessary delays or complications.

Documents used along the form

The Arizona 650A form is essential for reporting abandoned property to the Arizona Department of Revenue. Several other forms and documents often accompany this report, each serving a specific purpose in the unclaimed property process. Understanding these forms can streamline the reporting process and ensure compliance with state regulations.

  • Arizona Form 650B: This form is used when remitting securities. It provides detailed information about the securities being reported as abandoned property, allowing the state to track and manage these assets effectively.
  • Arizona Form 650C: Designed for reporting safe deposit box contents, this form requires holders to list the items found in abandoned safe deposit boxes. It helps the state in the inventory and eventual return of these items to their rightful owners.
  • Schedule A: This is an attachment that must accompany the 650A form. It includes a true and correct list of individual owners and their properties, ensuring that all reported items are accurately documented and easily accessible.
  • Arizona Unclaimed Property Reporting Manual: This manual provides guidelines on how to report unclaimed property, including payment protocols and relationship codes for each property. It is a valuable resource for holders to understand their obligations.
  • Written Notice to Owners: A document that confirms the holder has notified owners of the properties being reported. This notice is a requirement under Arizona law to ensure that owners are aware of their abandoned property.
  • Certification Statement: This statement is included in the 650A form, where the holder certifies their authority to execute the report. It emphasizes the importance of accuracy and honesty in reporting abandoned property.

Familiarity with these forms and documents not only aids in compliance but also enhances the efficiency of the reporting process. Each document plays a crucial role in ensuring that unclaimed property is handled correctly and returned to its rightful owners whenever possible.

Similar forms

  • Arizona Form 650B: This form is used for reporting securities that are considered abandoned property. Like the 650A, it requires detailed information about the entity holding the property and the owners associated with the securities.
  • Arizona Form 650C: This document is specifically for remitting contents of safe deposit boxes. Similar to the 650A, it involves reporting unclaimed property, but focuses on physical items stored in bank vaults rather than financial assets.
  • IRS Form 1099: This form is used to report various types of income other than wages, salaries, and tips. Both forms require accurate reporting of ownership and amounts, ensuring compliance with tax regulations.
  • State Unclaimed Property Reports: Many states have their own forms for reporting unclaimed property. These documents share similarities with the Arizona 650A in terms of structure and required information about the holder and the property.
  • Form W-2: This form reports wages paid to employees and the taxes withheld. Both the W-2 and 650A require precise details about the entity and the individuals involved, aiming to ensure proper reporting and accountability.
  • Form 990: Non-profit organizations use this form to report their financial information. Like the 650A, it demands transparency regarding the organization’s assets and liabilities, ensuring stakeholders have access to accurate financial data.

Dos and Don'ts

When filling out the Arizona 650A form, it's crucial to follow specific guidelines to ensure a smooth process. Here are five things you should and shouldn't do:

  • Do provide accurate and complete information for the entity name and federal ID number.
  • Do ensure that all contact details, including the mailing address and telephone number, are correct.
  • Do attach a true and correct list of individual owners and properties as required.
  • Don't aggregate properties under $50 in your report; list them separately.
  • Don't forget to send written notice to the owners of all properties being reported.

Pay attention to these details. They can make a significant difference in processing your form efficiently.

Misconceptions

Understanding the Arizona 650A form is crucial for businesses and individuals dealing with unclaimed property. However, several misconceptions often arise regarding its purpose and requirements. Here are seven common misconceptions:

  • The 650A form is only for large companies. Many believe that only large corporations need to file this form. In reality, any entity holding unclaimed property, regardless of size, must report it.
  • Only financial institutions need to file the 650A form. While financial institutions frequently deal with unclaimed property, other types of businesses, such as retailers or service providers, may also hold unclaimed property that requires reporting.
  • All unclaimed property must be reported annually. Some think that only properties over a certain value need to be reported. However, all unclaimed property must be reported, regardless of its value, although there are specific reporting thresholds for different categories.
  • Filing the 650A form is optional. This form is mandatory for entities that hold unclaimed property. Failure to file can result in penalties and legal repercussions.
  • Once property is reported, the holder is no longer responsible. While filing the 650A form transfers responsibility to the state, the original holder must still ensure that they have made reasonable efforts to contact the owners before reporting.
  • Only tangible assets need to be reported. Many people mistakenly believe that only physical items, like cash or jewelry, qualify as unclaimed property. However, intangible assets, such as stocks or bonds, must also be reported.
  • The 650A form can be submitted without supporting documentation. It is a common misconception that the form can be filed independently. In fact, it must be accompanied by a detailed list of properties and owners to ensure compliance with state regulations.

Being informed about these misconceptions can help ensure compliance with Arizona's unclaimed property laws and facilitate a smoother reporting process.

Key takeaways

Filling out and using the Arizona 650A form requires attention to detail and adherence to specific guidelines. Here are some key takeaways to consider:

  • Identify the correct form: The Arizona 650A form is specifically for reporting abandoned property. If you are dealing with securities or safe deposit box contents, you must use Arizona Form 650B or 650C, respectively.
  • Provide accurate information: Ensure that all fields, including the entity name, federal ID number, and contact details, are completed accurately. This information is essential for processing your report.
  • Summarize property amounts: Clearly indicate the total amounts of properties reported, both under and over $50, as well as those with known and unknown owners. This summary is crucial for the review process.
  • Attach necessary documentation: A true and correct list of individual owners and properties must accompany the form. This is referred to as Schedule A and is mandated by Arizona law.
  • Certification of authority: The individual completing the form must certify their authority to do so and affirm that all provided information is true and complete. This declaration is made under penalty of perjury.

Understanding these key points can facilitate a smoother process when filing the Arizona 650A form.