N.Y. Abandoned Property Law § 503: Report of abandoned property

§ 503. Report of abandoned property. Each payment or delivery of

abandoned property pursuant to section five hundred two shall be

accompanied by a written report, affirmed as true and accurate under

penalty of perjury, in such form as the state comptroller shall

prescribe, setting forth:

(a) The name and last known address, if any, of the person appearing

to be entitled to such abandoned property;

(b) A description of such abandoned property;

(c) The number of shares represented or the face amount of the

security;

(d) The amount of any principal, dividend, interest or other increment

due thereon;

(e) The date such amount was demandable or payable; and

(f) Such other identifying information as the state comptroller may

require.