Suspense Form

Please fill out this suspense form if you are holding any oil, gas or coal revenues for any of the entities named on this page. Someone will then contact you shortly.

Fields marked * are required.

Amount held in Suspense

Enter the amount held in suspense. If you do not have any revenues in any of our entity names, please note so by entering $0.00. Doing so will keep us from contacting you again in the future.

Suspense Amount ($) *

Company Name(s)

Enter your company name and contact information. Use “Add another company” to include multiple companies.

Company Name *Contact Name *Contact TitleContact Phone *Contact Email

Entity(ies) in Suspense

Select the company entities in suspense.

Entity

Property(ies)

Enter your property names.

Property Name

API Number(s)

Enter API numbers if available.

API Number

County(ies)

Enter the county and state of the properties.

County, State

CommentAdditional comments or property details