1. a) the date of deposit;
2. b) the name, address and telephone number of the depositor;

3. c) the name and last known address of the testator, as provided by the depositor;

   1. d) a short description of each document deposited, including, if shown, the date of execution and the number of pages in the document;
   2. e) alternate names by which the testator may have been known, the testator's date of birth, and the last four digits of the testator's social security number, only if provided by the depositor. [15 ILCS 305/5.15]

The Department will issue a receipt to the depositor for each will deposited. The receipt shall contain: