Standard Investigator Agreement- Abandoned Property
This agreement is entered into by and between
referred to as "Claimant," and
referred to as "Investigator."
, hereinafter
, hereinafter
I. Investigator, through his/her efforts, has located Claimant, who may be entitled to the assets in the possession of
the State Controller of California, 10600 White Rock Road, Suite 141, Rancho Cordova, CA 95670
(Mailing Address: P.O. Box 942850-5873) as described below:
OWNERS NAME:
OWNERS ADDRESS AS REPORTED TO THE STATE CONTROLLERS OFFICE:
REPORTED BY:
TYPE OF ACCOUNT: _________________ AMOUNT: __________________ PROP REF NBR: ______________________
SECURITIES: _______________________________ PROPERTY ID NO: _________________________________________
___________ (CHECK HERE IF THERE ARE ATTACHMENTS LISTING ADDITIONAL ACCOUNTS)
Claimants Initials
II. Investigator and Claimant do hereby agree that in consideration of Investigator's efforts in locating Claimant and
assisting in the actual recovery of the above-described assets to which Claimant may be entitled, Claimant assigns
to the Investigator a percentage not to exceed 10% of the net assets which Claimant in fact recovers. Claimant
agrees that the investigator fee will be paid upon payment of the claim.
Agreed percentage
Claimant's Initials
Investigator's Initials
III. If Investigator fails to disclose the nature and value of the property prior to the execution of this agreement, and
Investigator and Claimant agree that if the existence and whereabouts of the above-described assets are known to
the Claimant, and Claimant believes that said assets would have been recovered without the information and
advice given by Investigator, then Claimant is under no obligation to Investigator.
IV. Investigator and Claimant agree that in the event Claimant is not entitled to assets described above and such assets
are not recovered, there is no obligation on either party to the other, all expenses being borne by Investigator.
V. This agreement is valid for six (6) months from the date signed by Claimant.
Claimant: Daytime Phone:
Address: Date:
Claimants Signature:
Claimants SSN or Tax Identification Number:
Investigator:
Investigator License #:
Daytime Phone:
Date:
Address:
Investigators Signature: ________________________________________________________________________
Investigators Social Security Number or Tax Identification Number:
Standard Investigator Agreement/Contract Attachment
Owners
Name:
Owners
Address:
Reported
By:
Type
of Account:
Amount: ID
#:
Securities:
Property ID
#:
Owners
Initials:
Owners
Name:
Owners
Address:
Reported
By:
Type
of Account:
Amount: ID
#:
Securities:
Property ID
#:
Owners
Initials:
Owners
Name:
Owners
Address:
Reported
By:
Type
of Account:
Amount: ID
#:
Securities:
Property ID
#:
Owners
Initials:
Owners
Name:
Owners
Address:
Reported
By:
Type
of Account:
Amount: ID
#:
Securities:
Property ID
#:
Owners
Initials:
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