IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division ORDER DESIGNATING DEPOSITORY FOR ASSETS On the petition of guardian of the property of for authorization to deposit assets belonging to the Ward described as: , as (the Ward) with [Name and address of Depository] as a depository as provided by Florida Statutes Sections 69.031and 744.351(6), it is ADJUDGED: 1. is designated as the depository for said assets, and it is hereby authorized and directed to receive and hold in safekeeping as depository, pursuant to the provisions of Florida Statutes Sections 69.031and 744.351(6), such assets of the Ward to be held by said depository subject to such instructions by the guardian of the property of the Ward as authorized by orders of this court directed to the depository, and to permit withdrawal thereof only upon order of this court. Bar Form No. G-4.085 - 1 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 2. A copy of this order shall be delivered to the depository and the depository shall file with this court, if it has not already done so, its acceptance or rejection within fifteen (15) days of receipt of a copy of this order. 3. Any person or entity having possession or control of any assets of the Ward described in this order or owing interest, dividends, principal or other debts on account thereof, shall, upon the demand of the depository designated herein or the guardian, pay and deliver such assets, interest, dividends, principal or other debts to the depository, and the receipt by the designated depository shall relieve the person or entity from all further responsibility. 4. Upon receipt of assets of the Ward, the depository shall file with this court its receipt therefor and serve a copy on the guardian of the property. ORDERED on , . Circuit Judge Bar Form No. G-4.085 - 2 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com