IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division ORDER DESIGNATING DEPOSITORY FOR ASSETS (Investment Powers) On the petition of guardian of the property of Ward), for authorization to deposit assets belonging to the Ward described as: , as (the with [Name and address of Depository] as a depository as provided by Florida Statutes Sections 69.031 and 744.351(6), it is ADJUDGED: 1. is designated as the depository for the above specified intangible assets belonging to the Ward, pursuant to the provisions of Florida Statutes Sections 69.031 and 744.351(6). 2. Any person or entity having possession or control of any intangible assets of the Ward described in this order shall pay and deliver such assets to the said depository on its demand or the demand of the guardian, and the receipt of the designated depository shall relieve the person or entity from all further responsibility therefor. Bar Form No. G-4.086 - 1 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 3. The depository is authorized and directed to hold the assets of the Ward received by it in a fiduciary account for the benefit of the Ward and to invest and reinvest the assets in accordance with the standards set forth in Florida Statutes Sections 518.11 and 744.444(10). 4. The depository is authorized to invest the assets of the Ward in one or more consolidated funds in which separate fiduciary accounts have undivided interests, provided a separate accounting is maintained for assets of the Ward. 5. The depository is directed to hold all assets of the Ward received by it and all interest, dividends, principal and debts collected by it on account thereof in safekeeping, subject to instructions of the guardian of the property of the Ward authorized by order of the court directed to the depository; except that the depository shall pay directly to the U.S. Treasury all federal income tax incurred by the Ward, from time to time as directed by the guardian, without further order of the court. 6. The depository is authorized from time to time to deduct a reasonable amount for its services and expenses from the assets held by it, pursuant to Florida Statutes Section 69.031(4). 7. The depository is directed to file with this court its receipt for all assets of the Ward received by it and to serve a copy thereof on the guardian of the property of the Ward. 8. A copy of this order shall be served on 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. ORDERED on , . Circuit Judge Bar Form No. G-4.086 - 2 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com