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HOLDER REQUEST FOR REIMBURSEMENT STATE OF CONNECTICUT OFFICE OF THE STATE TREASURER UNCLAIMED PROPERTY DIVISION 55 ELM STREET, 5TH FLOOR HARTFORD, CT 06106 FUNDS PAID TO THE STATE ON DATE; DOLLAR
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To fill out Part I Holder Information, follow these steps:
02
Start by entering your full name in the designated field.
03
Next, provide your contact information including your address, phone number, and email.
04
If applicable, enter your organization's name and contact details.
05
Indicate the type of holder you are, such as an individual, corporation, or partnership.
06
Enter the relevant tax identification number or social security number.
07
Specify your residency status, whether you are a resident or non-resident for tax purposes.
08
If you are a non-resident, provide the country of residence.
09
Finally, sign and date the form to certify the accuracy of the information provided.

Who needs part i holder information?

01
Part I Holder Information is required for any individual or entity that holds a particular asset, investment, or property.
02
This information is necessary for tax and legal purposes, ensuring proper tracking and reporting of ownership.
03
Whether you are an individual investor, a business owner, or a trustee, you would need to provide the holder information as required by various authorities.
04
Financial institutions, government agencies, and tax authorities often require this information to maintain accurate records and verify ownership.
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Part I holder information is a section of a form that requires details about the individual or entity that holds a certain part of a document.
The person or entity responsible for completing the form is required to file Part I holder information.
Part I holder information can be filled out by providing accurate and complete details about the holder of a specific part of a document.
The purpose of Part I holder information is to accurately identify and provide information about the holder of a specific part of a document.
On Part I holder information, details such as name, address, contact information, and any relevant identification numbers may need to be reported.
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