Skip Ribbon Commands
Skip to main content
Contact Us | Careers |
Facebook



​Forms and Guides​

Holder Verification and Checklist Forms

An ASD-159 form must be filled with all holder reports.  If you are a government agency, please file form ASD-159G.

 Form Number Form Title 
 ASD-159 Unclaimed Property Verification and Checklist 
 ASD-159-G Unclaimed Property Verification and Checklist
- Governmental Agencies Only 
 ASD-159 Unclaimed Property Verification and Checklist
- Life Insurance Holders Only 
​​

​Reporting Forms

A reporting form must accompany each Holder Verification and Checklist form.  You will need to submit one of the forms below, depending on the type of property you are reporting.  If you have no unclaimed property to report, you may file a negative report.

 Form Number Form Title 
 ASD-21 Report of Unclaimed Property 
 ASD-215 Report of Unclaimed Securities 
 ASD-127 Abandoned Tangible Personal Property 
 ASD-NEG Negative Report of Unclaimed Property 

 

Copyright © NC Department of State Treasurer and its licensors. All Rights Reserved. | Contact Us

Accessibility | Online Security | Privacy Policy | Site Map | Visit NCGov.com | NC Open Book