Letterhead of Claiming Agency] AFFIDAVIT AND AGREEMENT RE: Abandoned Property Belonging to __________________Affidavit and Agreement • October 11th, 2020
Contract Type FiledOctober 11th, 2020_________________(agency)______________, hereby certifies that, to the best of his/her knowledge and belief, the _____________(agency)___________is the owner of abandoned property totaling ___(amount)___, presently being held in the Abandoned Fund Account of the Missouri State Treasury.