Code of Federal Regulations Title 31. Money and Finance–Treasury § 31.101.2 Petitions for mitigation

(1) The petitioner innocently purchased or received the coins and held them without the knowledge that they were counterfeit;  and,

(2) The petitioner voluntarily submitted the coins to the Treasury Department for a determination of whether they were legitimate or counterfeit;  and,

(3) The coins were determined to be counterfeit and were seized by the Treasury Department and forfeited to the United States.

(1) The full name and address of the petitioner;

(2) A description of the coin or coins involved;

(3) The name and address of the person from whom the coins were received or purchased by the petitioner;

(4) The date and place where they were voluntarily submitted for examination;

(5) Any other circumstances relied upon by the petitioner to justify the mitigation;

(6) A statement that the petitioner purchased or received and held the coins without the knowledge that they were counterfeit.