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.

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)

Select your company name from the drop down list. If your company name is not in the list please use the free type text field below to enter your company name. Company Name, Contact Name and Contact Phone are required fields.

Company Name:
New Company:
Contact Name:
Contact Title:
Contact Phone:
Contact Email:

Entity(ies) in Suspense

Enter Company Entity(ies) in Suspense.

Entity:

Property(ies)

Enter your Property Name.

Property Name:

API Number(s)

Enter API Number if Available.

API Number:

County(ies)

Enter County of Property(ies).

County, State:

Comment

Enter additional comments or property details.

Comment: