Va. Code § 55.1-2420
A sale agreement for the purchase of escheated property shall include a statement of the purchaser's right to claim a refund pursuant to § 55.1-2438 upon submission to the State Treasurer within 120 days of the sale of satisfactory evidence that the escheated property does not exist or was improperly escheated. The following form may be used:
Sale Agreement of Escheated Property
This agreement of sale made in triplicate this ____ day of ______, 20__, between ________, Escheator (hereinafter known as Seller), and ________ (hereinafter known as Purchaser) and ________ (hereinafter known as Agent).
WITNESS
That for and in consideration of the full purchase price of $______ by cash/check in hand paid, receipt of which is hereby acknowledged, the Seller agrees to sell and the Purchaser agrees to buy all that certain lot or parcel of land with all the appurtenances (if any) thereunto belonging and described as follows:
________________
________________
________________
The Seller agrees to obtain a state grant. It is hereby understood that GRANTS for lots, parcels and acreage sold pursuant to this agreement shall be WITHOUT WARRANTY and in accordance with § 55.1-2422 of the Code of Virginia. The recovery of proceeds of each sale from the Commonwealth, less the expenses of sale and the escheator's commission, may be obtained if the Purchaser, pursuant to § 55.1-2438 of the Code of Virginia, submits satisfactory evidence to the State Treasurer within 120 days of the sale that the escheated property does not exist or was improperly escheated.
WITNESS the following signatures and seals made this ______ day of ______, 20__.
____________ (SEAL)
____________ (SEAL)
Agent
____________ (SEAL)
Purchaser
____________ (SEAL)
Escheator for
____________, Virginia,
Seller
Va. Code § 55.1-2420