FOR CLERK'S USE ONLY SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of (check one or both) Guardianship or Conservatorship of Case No. PB ORDER RELEASING FUNDS FROM A RESTRICTED ACCOUNT AND REQUIRING PROOF OF USE OF FUNDS a Minor or an Adult This is an important court order that could affect your legal rights. Read it carefully. If you do not understand it, see a lawyer for help. THE COURT FINDS: 1. 2. PETITION FILED: A "PETITION FOR RELEASE OF FUNDS" from a restricted account was filed by the guardian and/or conservator. NOTICE OF PETITION: Notice of the Petition was: waived by the following interested persons: given as required by law AND/OR , 3. The Petition for Release of Funds from the Restricted Account has been reviewed by the Court, and the Court finds that the protected person is in need of funds for the reasons set forth in the Petition and that no parent or person is obligated to satisfy this need and that funds are not available from any other source for these purposes. THE COURT ORDERS: 1. Directing (name of the financial institution) to issue a check payable from account # In the amount of : Made payable to Guardian/Conservator: (Name) 2. Directing the Guardian and/or Conservator to use the money for the following purposes, and to file receipts as proof that the funds have been used for the purposes within within days of this order. PBGCR81f-083012 American LegalNet, Inc. www.FormsWorkFlow.com ©Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 1 of 2 OFR Case No. PURPOSE $ $ $ 3. AMOUNT Ordering that this case shall be reviewed by court staff by (date) to determine compliance of the Guardian and/or Conservator with this order. Done in open court: JUDICIAL OFFICER ©Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 2 of 2 PBGCR81f-083012 American LegalNet, Inc. www.FormsWorkFlow.com OFR