Disclaimer and Consent with Respect to United States Savings Bond/Notes

OMB 1530-0059

Used to obtain a disclaimer and consent as the result of an error in registration or otherwise the payment, refund of the purchase price, or reissue as requested by one person would appear to affect the right, title or interest of some other person.

The latest form for Disclaimer and Consent with Respect to United States Savings Bond/Notes expires 2021-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FS Form 1849 Disclaimer and Consent with Respect to United States Savings Bond/Notes Form and Instruction
1530-0059_supporting statement_2021.docx Supporting Statement A
Disclaimer and Consent with Respect to United States Savings Bond/Notes Form and Instruction

All Historical Document Collections

202109-1530-003 Approved without change	Extension without change of a currently approved collection	2021-10-28
201712-1530-002 Approved without change	Extension without change of a currently approved collection	2017-12-27
201501-1530-002 Approved without change	Revision of a currently approved collection	2015-01-06