Shelby County, IL · Shelby County

No notary required

Statement of Economic Interests

This form records economic interests for people required to file a statement with the Shelby County Clerk.

At a glance

Issued by
City of Shelby County · Shelby County, Shelby County, Illinois
Notarization
Not required: file this form without a notary.
Official source
shelbycounty-il.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The statement reports specified assets, income, debts, government employment, lobbyist relationships, gifts, and public utility employment of a family member. Complete all seven questions and file the form with the Shelby County Clerk; the document says an ethics officer must review it first if you are subject to the State Officials and Employees Ethics Act.

Who needs it

People required to file a statement of economic interests with the Shelby County Clerk use this form to disclose the information requested.

How to submit it

Submit it to the county office named on the form; check the county website for current contact details.

About notarization

This document is signed and dated without a notary; the form requests no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Statement of Economic Interests PDF.

  2. 2

    Complete All Seven Questions

    Fill in your information and answer all seven questions. The form suggests using tax returns and investment or brokerage statements as references.

  3. 3

    Attach Extra Pages If Needed

    Attach additional pages if the form does not provide enough space for your responses.

  4. 4

    Get Ethics Officer Review If Required

    If you are subject to the State Officials and Employees Ethics Act, have your ethics officer review the statement before filing.

  5. 5

    Sign And File

    Sign and date the statement, then file it with the Shelby County Clerk. Check the county website for current contact details.

Frequently asked questions

What information does the Statement of Economic Interests request?
It asks about specified assets, income, debts, government employment, lobbyist relationships, gifts, and certain family members' public utility employment. The form says to answer all seven questions.
Who files this statement?
People required to file a statement of economic interests with the Shelby County Clerk use this form. It includes spaces for the filer’s name, title, positions, and contact information.
Do I need a notary for the Statement of Economic Interests?
No. The form provides a signature and date line, but no notary block or notarized attachment.
How do I submit the Statement of Economic Interests?
The form says it is filed with the County Clerk but gives no mailing address, email, or portal. Check the county website for current contact details.

Need something notarized?

This Statement of Economic Interests doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.