
Request by Fiduciary for Distribution of United States Treasury Securities Request payment or replacement of lost, stolen, or destroyed bondsĬreditor's Request for Payment of Treasury Securities Belonging to a Decedent's Estate Being Settled Without Administration Resolution for Transactions Involving Treasury SecuritiesĪuthorizes individuals in an organization to conduct transactions regarding Treasury securitiesĬertificate of Incumbency of Officers (Corporation or Unincorporated Association)Ĭlaim for Lost, Stolen, or Destroyed United States Savings Bonds

Sign this form in the presence of a certifying individual Form NameĪ bank uses to receive credit for a paid savings bond or note that has been lost or destroyed.


You do not have to sign the back of the bonds. If you are asking us to pay you for paper savings bonds, send the bonds with the form. Others tell you not to send in the bonds. Some forms tell you to send the bonds with the form. A photocopy is fine as long as the stamp or seal is legible. However, know that we cannot return what you send to us. If a form asks for legal evidence, such as a death certificate, be sure to include it. …death certificates or other legal evidence

For more about who can certify, see Signature certification. Follow the instructions on the form about having your signature certified. If your form says you need that, wait to sign it until you are with the person who will certify your signature. Some forms require a certified signature.
