General Inquiry Form - Illinois State Treaurer

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ALEXI GIANNOULIAS
Illinois State Treasurer
GENERAL INQUIRY FORM
Please note some of the property we are holding does not appear on our web site due to the lack of adequate
information reported with the property to identify the rightful owner.
If you did not find your name on our web site but have reason to believe we may be holding property for you,
please complete this General Inquiry Form and mail it to us at the following address:
Illinois State Treasurer’s Office
Unclaimed Property Division
P.O. Box 19495
Springfield, IL 62794-9495
Your Name/Company Name:
Name To Be Researched (state relationship if different):
Current Mailing Address:
Daytime Telephone Number:
(
)
Social Security Number/FEIN:
City, State, Zip Code:
In order to conduct a thorough search, please list as many previous addresses as possible:
If there is specific property you are searching for, please answer the following questions:
1. What kind of property is it? Examples: bank deposit of some type, uncashed check, stock, bonds, insurance
proceeds, utility deposit, etc.
2. What is the name of the business or financial institution that would have reported the property to us?
3. Do you have documentation representing the property? Yes_____ No_____. If yes, please send a copy to
help us in our search. Example: A bank statement, original check, insurance policy, certificate of deposit,
passbook, stock certificate, etc.
4. Has a financial institution or other business organization notified you in writing indicating your assets have
been reported to us? Yes_____ No_____. If yes, please attach a copy of the letter.
Rev. 2/07
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