* PLEASE NOTE: USE YOUR FINANCIAL INSTITUTION’S LETTERHEAD*
RELEASE CONFIRMATION
Fax form to State Treasurer of Ohio (Treasurer): (614) 466-9948 or e-mail to:
bank.collateral@tos.ohio.gov
RELEASE OF ELIGIBLE SECURITIES AS SECURITY, PREVIOUSLY HELD
FOR THE DEPOSIT AND REPAYMENT OF PUBLIC MONEY PURSUANT TO
OHIO REVISED CODE
§ 135.18.
THE TRUSTEE:
____________________________________________________________________________________
(Name of Bank (“Trustee”) which is to release custody of securities)
Hereby acknowledges that it has received written authorization from the Treasurer’s office, to remove
from safekeeping the security described below that was held to secure the interests of the Treasurer and
____________________________________________________, a public depository.
Security to be Released:
CUSIP: ________________________
ASSET DESCRIPTION: __________________________________
RELEASE AMOUNT: ________________________
INTEREST RATE: ________________________
MATURITY DATE: ________________________
CURRENT MARKET VALUE: ________________________
By: _________________________________________________ Date: ___________________________
(Authorized Officer of the Trustee)