Statement As To Death Will On Deposit
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Statement As To Death Will On Deposit Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Statement As To Death Will On Deposit, 500-D, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
:
Index No.
Calendar No.
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
:
JUDICIAL SUBPOENA
Plaintiff(s)
PROBATE DIVISION
-against:
No.
:
Matter of
, Deceased.
:
Defendant(s)
STATEMENT AS TO DEATH “WILL ON DEPOSIT”
:
......................................................
The undersigned *Guardian - *Conservator states to the Court that
THE PEOPLE OF THE STATE OF NEW YORK
, age
, who resided at
TO
, died on the
GREETINGS:
day of
, 20______.
That said decedent left an instrument in writing purporting to be *his - * her Will,
which is located at
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
.
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE
MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Date:
Court in
Witness, Honorable
County,
day of
*strike if inapplicable
Guardian
, 20
, one of the Justices of the
and/or
Conservator
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Form 500-D
Revised 3/17/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Page 1 of 1 Tel. No.:
Mobile
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