53-127 (2-06)
STATE OF TEXAS COMPTROLLER OF PUBLIC ACCOUNTS
Box number
UNCLAIMED PROPERTY STANDARDIZED INVENTORY SHEET
Bank name
Date
Time
Reason for inventory
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 currecy) 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: ______________________________________________________ ______________________________________________________ ______________________________________________________