JDF 865SC R6/19 ORDER FOR DEPOSIT OF FUNDS TO RESTRICTED ACCOUNT 226 CONSERVATORSHIP Page 1 of 2 District Court Denver Probate Court County, Colorado Court Address: In the Interest of: Protected Person/Minor COURT USE ONLY Case Number: Division: Courtroom: ORDER FOR DEPOSIT OF FUNDS TO RESTRICTED ACCOUNT - CONSERVATORSHIP The court hereby orders that , Conservator/Special Conservator must open an insured account in a financial or brokerage institution for the sole benefit of the Minor/Protected Person. The account must be opened on behalf of the Minor/Protected Person. The account shall be opened using the sample title, 223 as Conservator/Special Conservator for (Name of Minor/Protected Person)224. The fiduciary shall deposit $ and funds received subsequently into the account. This person may make internal transfers of funds in order to take advantage of changes in interest rates. It is ordered that, except for internal transfers, the financial institution must not permit withdrawals from the account(s), except by separate certified Order of this Court. It is ordered that an Acknowledgment of Deposit of Funds to Restricted Account (JDF 867) must be returned to the Court within 45 days. No attorney fees may be paid in this case until the Acknowledgment form is signed and returned to the Court. The court further orders that the fiduciary shall file a Motion to Withdraw Funds from Restricted Account (JDF 868) prior to any disbursement of funds. It is further ordered that the conservator must file a Conservator222s Report (JDF 885) along with a copy of the most recent bank statement for the account each year on the minor222s/protected person222s birthday (date) or (date). Failure to file an annual Conservator222s Report may result in the imposition of sanctions by the court which could include removal of the fiduciary from further duties and an order freezing the restricted account until further order of the court. The court may also order the appointment of a professional fiduciary. The court further orders: American LegalNet, Inc. www.FormsWorkFlow.com JDF 865SC R6/19 ORDER FOR DEPOSIT OF FUNDS TO RESTRICTED ACCOUNT 226 CONSERVATORSHIP Page 2 of 2 Copies of all future court filings will be provided to the following interested persons: Name Relationship to minor/protected person Minor/protected person when12 years or older Parent or adult nearest in kinship Other: Dated: Judge Magistrate American LegalNet, Inc. www.FormsWorkFlow.com