53-127 Unclaimed Property Standardized Inventory Sheet

53-127 (2-06)

STATE OF TEXAS COMPTROLLER OF PUBLIC ACCOUNTS

Box number

UNCLAIMED PROPERTY STANDARDIZED INVENTORY SHEET

Date Reason for inventory

Time

Bank name

Renter

QUANTITY ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________

INVENTORY ITEMS Miscellaneous papers (deeds, insurance, marriage licenses, etc.) Original signed wills or original military discharge papers U.S. Cash (face value of coins and currency) Foreign coins Foreign currency Rings Bracelets Necklaces / pendants Earrings (pair = 1, single = 1) Pins Wrist watches / pocket watches Savings bonds $ _________________ Face value of all bonds Securities ? Include issue names below: ______________________________________________________ ______________________________________________________ ______________________________________________________

____________

Miscellaneous items ? Include description below: ______________________________________________________ ______________________________________________________ ______________________________________________________

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