This is a Federal Deposit Insurance Corporation (FDIC) computer system. This computer system may be
monitored by the FDIC for lawful purposes. All information (including personal and confidential)
placed on or sent over this system may be examined, recorded or copied, used or disclosed by the
FDIC for authorized purposes. Any information collected during monitoring may be used for purposes
of any administrative, civil or criminal action or proceeding.
The Federal Deposit Insurance Act (12 U.S.C. §§ 1819, 1821, and 1822) and 12 C.F.R. Part 330 authorize the collection of this information.
The purpose for collecting this information is to support the determination of deposit insurance coverage and/or the payment of deposit insurance
on deposits of the closed financial institution. Furnishing this information is voluntary but failure to provide the requested information in whole or
in part may delay or prevent the determination of deposit insurance coverage and/or the payment of deposit insurance on deposits of the closed financial
institution. The information provided by individuals is protected by the Privacy Act, 5 U.S.C. 552a. The information you provide may be provided to
appropriate Federal, state, local or foreign law enforcement authorities; to a court, administrative tribunal, or a party in litigation; to contractors,
agents and other third parties as authorized by law, and in accordance with any of the other routine uses described in the FDIC Unclaimed Deposit Account
Records (FDIC-30-64-0024) System of Records. A complete copy of this System of Records is available at www.fdic.gov/about/privacy. If you have questions or
concerns about the collection or use of the information, you may contact the FDIC’s Chief Privacy Officer at Privacy@fdic.gov.