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Sample Form - IIM Instructions for Disbursement of Funds and Change of Address 1

IIM ACCOUNT NUMBER OR TRIBAL ID NUMBER – This number can be found on the ITI Report and on the IIM Statement of Account.

PAYMENT INSTRUCTIONS – IIM account holders can choose when they receive payment and how much is disbursed at any given time. Unless a specific request is made, most funds in an unrestricted account are automatically disbursed when the account balance reaches the minimum threshold amount of $15.00. When oil and gas royalty payments exceed $5.00 in a given cycle, funds are disbursed to the beneficiary. Money that is held in an IIM account is invested in government securities and will earn income at the federal fund interest rate.

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