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§  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.