Commerce Division of Unclaimed Funds Online Extension  

Complete this extension request and submit to obtain an automatic extension of time to file your Annual Report of Unclaimed Funds beyond the due date of November 1 (May 1 for Life Insurance Companies).

Holder Name: 

Address1:  Contact Phone:
Address2: Contact Email:
Address3: Re-Type Email:
City:  State:  Zip Code:
Contact Name:     
Contact Title:     
Report Year:     
Holder Type: 

I request an automatic extension of: 
Annual Report Due Date: Friday, November 01, 2019