ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address and Telephone No.): ATTORNEY FOR (Name): FOR COURT USE ONLY ATTORNEY BAR # SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Street Address: 341 The City Drive Mailing Address: Post Office Box 14171 City and Zip Code: Orange, CA 92863-1571 IN THE MATTER OF FUNDS BELONGING TO: A Minor EX-PARTE PETITION FOR ORDER RE TRANSFER OF MONEY BELONGING TO MINOR AND ORDER CASE NUMBER: Petition of ______________________________________________________________________________________ hereinafter called “petitioner,” respectfully alleges: 1. Name of Minor_______________________________________________________________________________ 2. Age___________ Date of Birth________________________________________________ Sex____________ 3. Residence address of Petitioner__________________________________________________________________ 4. Social security number of G Guardian Driver’s license number of G Guardian G Trustee: _________________________________________________ G Trustee: ______________________________________________ 5. Residence address of Minor_____________________________________________________________________ 6. Petitioner is: (a) G guardian of estate of the minor; (b) G trustee of the minor’s funds under Prob. Code 3410, et seq. or CCP 372. 7. There is now on deposit in a blocked account the sum of $_____________________________________________ with _________________________________________________________________________________________ (Name and Address of Depository) _________________________________________________________________________________________ WHEREFORE, Petitioner respectfully requests that ________________________________________________ (Depository) be authorized to transfer the sum of $____________________ to a federally insured blocked interest bearing savings account (unless otherwise ordered by the Court, said account shall have no maturity date) at: _____________________________________________________________________________________________ _____________________________________________________________________________________________ (Name and Address of Financial Institution) in the name of the petitioner as guardian or trustee for said minor, subject to withdrawal of principal or interest only upon authorization of the Court. The foregoing is true of my own knowledge, except as to those matters which are therein stated upon information or belief, and as to those matters, I believe the same to be true. I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: __________________ _________________________________________________ (Signature of Petitioner) (Continued on Reverse) EX PARTE PETITION FOR ORDER RE TRANSFER OF MONEY TO MINOR AND ORDER 754 (1/99) We agree to an inter-bank transfer to ______________________________________________________________ (Name of Depository) without directly releasing any funds to the guardian or trustee of the account. ___________________________________________________ (Present Depository) ___________________________________________________ (Address) By: _______________________________________________ (Printed Name of MANAGER or OFFICER) DATED:______________________________ __________________________________________________ (Signature of MANAGER or OFFICER) ORDER The Court authorizes parties to complete the above transfer of funds as requested above. Petitioner (and attorney, if any) are instructed to cause the filing of a receipt and acknowledgment of blocked account (Orange County Form 733) by the new depository within three (3) court days after deposit. Such receipt shall be signed by the Branch Manager or Officer of depository. DATED:______________________________ ___________________________________________________ Judge EX PARTE PETITION FOR ORDER RE TRANSFER OF MONEY TO MINOR AND ORDER 754 (1/99)