Name: Address: City, State, Zip: Phone: Comp.# (if applicable): ARIZONA SUPERIOR COURT, PIMA COUNTY In the Matter of the Conservatorship of: Case Number: ORDER AUTHORIZING WITHDRAWAL OF FUNDS OF MINOR Date of birth: A Minor. The petition for withdrawal of funds of minor having been considered, the court finds: A. Notice has been given as required by law. B. Release of the assets is in the best interest of the minor. C. No parent or other person is legally obligated to satisfy the need of the minor. IT IS THEREFORE ORDERED: 1. The conservator is authorized to withdraw the sum of $ account # at from (NAME OF FINANCIAL INSTITUTION),to be used for the purposes set forth in the petition for withdrawal of funds. 2. If applicable, the Clerk shall release the passbook or certificate of deposit for said account to the conservator. 3. Upon presentation of a certified copy of this order, the financial institution shall permit the withdrawal of the authorized sum. All remaining funds shall remain subject to court control. 4. Conservator shall file a Receipt For Expenditure no later than ____________________. 5. A non-appearance review is set for ____________________ to review the court file for the Receipt For Expenditure. DATED: JUDGE/COURT COMMISSIONER 1 of 1 Last Revised: March 31, 2009 American LegalNet, Inc. www.FormsWorkFlow.com