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Petition To Withdrawal Funds Form. This is a Arizona form and can be use in Pima Local County.
Tags: Petition To Withdrawal Funds, Arizona Local County, Pima
Name:
Address:
City, State, Zip:
Phone:
Comp.# (if applicable):
ARIZONA SUPERIOR COURT, PIMA COUNTY
In the Matter of the Guardianship of:
Case Number:
PETITION TO WITHDRAW FUNDS
Date of birth:
A Minor.
Petitioner states:
1. I,
, am the conservator of the estate. My kinship, if any,
.
to the minor, is
2. The approximate value of the estate is: $
3. The following assets of the minor are under court control:
TYPE OF ASSET
FINANCIAL INSTITUTION
ACCOUNT NO.
APPROXIMATE VALUE
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Last Revised: May 22, 2006
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Petition To Withdraw Funds – Case Number _____________________
4. I need funds for the minor in the amount of $
_____________
from account number
for the following purposes:
5. No other source of funds exist to meet these purposes and no parent or other person
is under a legal obligation to provide for these needs.
6. I have attached a completed financial affidavit. [Required for Parents only]
7. The persons entitled to notice of this proceeding are:
Name
Address
Relationship
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Last Revised: May 22, 2006
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Petition To Withdraw Funds – Case Number _____________________
Please indicate selection:
I request the court, after notice and hearing, if required, order
(NAME OF FINANCIAL INSTITUTION) to release the needed funds from account
number
to
I request the court, after notice and hearing, if required, order the Clerk of the Court
to release the passbook or CD to
The undersigned swear or affirm that the statements set forth above are true and
correct, subject to the penalties of making a false affidavit or declaration.
DATED:
Conservator’s Signature
3 of 3
Last Revised: May 22, 2006
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