Inmate Personal Property Inventory Template - Topeka, Kansas

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Inmate Personal Property Inventory
This inventory is to be submitted to the Kansas State Treasurer’s Office 90 days after last contact with the Inmate in accordance with KSA
75-52,135. Please fax this form to (785) 291.3172. A response will be returned within 5 business days. Do not refax the same form if it has
not been 5 business days. Questions should be directed to Jessica at (785) 291.3173.
Facility Name _________________________________________ Fax #
___________________________
(Required)
Inmate Name __________________________________ Inmate # _____________ SSN ____________________
(If Known)
Status of Inmate
Date of Incarceration ____/____/____
Date of Parole/Transfer/Escape/Death ____/____/____
Please CHECK if the inventory contains the following: (These do not need to be itemized)
Clothing
(shower shoes, jeans, belts, etc.)
Food Items
(canned goods, cups, bowls, etc.)
Personal Care/Hygiene Items
(soap, tweezers, clippers, medication, etc.)
Personal Use Items
(envelopes, stamps, extension cords, lighters, pad locks, etc.)
(hot pots, TV’s, radios, headphones, Fans, etc.)
Personal Papers/Documents
(Photos, Letters, cards, address book, paperwork, Bible, etc.)
Please ITEMIZE any Inventory NOT covered above that has a COMMERCIAL VALUE:
Our office will grant your facility permission to destroy items with little or no commercial value as our office will only take custody of property with a
commercial value higher than the costs of the charges to ship the item and our auction fees. For example, we will NOT take custody of televisions because the
cost to ship and auction the item creates an insubstantial commercial value and our office will direct your facility to dispose of those items per KSA 58-3961.
Item Description (example: Watch, Gold Ring)
Estimated Value(Example $25)
Requested to be delivered
State Treasurers use only
____________________________________________
_______________________
___________________
Officer Name
Phone Number
Date
For State Treasurers Use Only
Permission
to dispose/donate all items.
GRANTED
DENIED
If DENIED, our office requests to take custody of the above checked items.
All items not requested above may be disposed and/or donated.
If Property was requested above submit property and a copy of this inventory within 60 days to:
KS Unclaimed Property
___________________________________ ____________________
Attn: Holder Services
900 SW Jackson Suite 201
Received
Date
Topeka, KS 66612-1235
Inmate Personal Property Inventory
This inventory is to be submitted to the Kansas State Treasurer’s Office 90 days after last contact with the Inmate in accordance with KSA
75-52,135. Please fax this form to (785) 291.3172. A response will be returned within 5 business days. Do not refax the same form if it has
not been 5 business days. Questions should be directed to Jessica at (785) 291.3173.
Facility Name _________________________________________ Fax #
___________________________
(Required)
Inmate Name __________________________________ Inmate # _____________ SSN ____________________
(If Known)
Status of Inmate
Date of Incarceration ____/____/____
Date of Parole/Transfer/Escape/Death ____/____/____
Please CHECK if the inventory contains the following: (These do not need to be itemized)
Clothing
(shower shoes, jeans, belts, etc.)
Food Items
(canned goods, cups, bowls, etc.)
Personal Care/Hygiene Items
(soap, tweezers, clippers, medication, etc.)
Personal Use Items
(envelopes, stamps, extension cords, lighters, pad locks, etc.)
(hot pots, TV’s, radios, headphones, Fans, etc.)
Personal Papers/Documents
(Photos, Letters, cards, address book, paperwork, Bible, etc.)
Please ITEMIZE any Inventory NOT covered above that has a COMMERCIAL VALUE:
Our office will grant your facility permission to destroy items with little or no commercial value as our office will only take custody of property with a
commercial value higher than the costs of the charges to ship the item and our auction fees. For example, we will NOT take custody of televisions because the
cost to ship and auction the item creates an insubstantial commercial value and our office will direct your facility to dispose of those items per KSA 58-3961.
Item Description (example: Watch, Gold Ring)
Estimated Value(Example $25)
Requested to be delivered
State Treasurers use only
____________________________________________
_______________________
___________________
Officer Name
Phone Number
Date
For State Treasurers Use Only
Permission
to dispose/donate all items.
GRANTED
DENIED
If DENIED, our office requests to take custody of the above checked items.
All items not requested above may be disposed and/or donated.
If Property was requested above submit property and a copy of this inventory within 60 days to:
KS Unclaimed Property
___________________________________ ____________________
Attn: Holder Services
900 SW Jackson Suite 201
Received
Date
Topeka, KS 66612-1235

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