IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Division Deceased. ORDER DESIGNATING DEPOSITORY FOR ASSETS On the petition of personal representative of this estate for authority to deposit assets described as: , as with [Name and address of Depository] as a depository as provided by Florida Statutes Section 69.031, it is ADJUDGED: 1. is designated as the depository for said assets, and it is hereby authorized and directed to receive and hold as depository, pursuant to the provisions of Florida Statutes Section 69.031, assets of the estate to be held by said depository in safekeeping, subject to such instructions by the personal representative as are authorized by orders of this court directed to the depository, and to permit withdrawal thereof only upon order of this court. The depository shall provide periodic statements of account to the personal representative. Bar Form No. P-4.0840 - 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 corporation having possession or control of any assets of the estate 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 personal representative, 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 corporation from all further responsibility. 4. Upon receipt of assets of the estate, the depository shall file with this court its receipt therefor and serve a copy on the personal representative. ORDERED on , . Circuit Judge Bar Form No. P-4.0840 - 2 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com