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Nebraska's holder report form can be downloaded via the link below. We
still require a notarized signature from a company representative. Please contact us at
webmaster if you have any difficulties downloading
or printing the form.
Please note: While you will be able to save
a blank form to your computer, you WILL NOT be able to save a "filled-out"
copy. We are sorry for any inconvience this may cause.
 
This link is for companies that are reporting unclaimed property and you will need Acrobat
Reader to view it. Please click on the button below if you do not have Acrobat
Reader.
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