Notice To Financial Institution To Establish Iolta Account Page 2

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ORMATION:
NOTICE OF ENROLLMENT IN THE IOLTA PROGRAM
After completing send to: Lawyers Trust Fund of Illinois, 180 North Stetson Avenue Suite 820; Chicago, IL 60601
Fax:(312) 938-3091 or Email:
23TU
U23T
Date:___________________________
The undersigned, in accordance with Rule 1.15 of the Illinois Rules of Professional Conduct of 2010, has established an
IOLTA Account for the deposit of nominal and short-term client funds with the eligible financial institution specified below. I
have directed the financial institution to remit interest on the account to the Lawyers Trust Fund of Illinois. My/my law firm’s
contact and account information are below.
BANK INFORMATION:
________________________________________
_________________________________
(Account Name)
(Account Number)
________________________________________
_________________________________
(Bank)
(Bank Routing Number)
____________________________________________________________________________
(Bank Address)
________________________
___________________________
___________________
(City)
(State)
(Zip Code)
________________________
_______________________
___________________
(Bank Contact)
(Telephone Number)
(County)
ATTORNEY INFORMATION:
_______________________________________
(Attorney or Firm) Print Name
__________________________________
(By) Signature
____________________________________________________________________________
(Firm Address)
________________________
___________________________
___________________
(City)
(State)
(Zip Code)
________________________
_______________________
___________________
(Telephone Number)
(County)
(Email Address)
Revised 9 2015

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