A1 - Depository Acceptance Asset Receipt Last Revised: 04/01/2014Page 1 of 1 Case Number:Format Must Be YYYYNNNNNN@@02 where @@ is GD, MH or CP PROBATE DIVISION, hereby accepts the designation as 223Depository224 for the above named assets per the above Court's order dated . The Depository hereby acknowledges receipt of the following assets (223Assets224): The Depository acknowledges receiving a copy of the Order Designating Depository for Assets, and it agrees to hold the Assets, the duly collected proceeds therefrom, and all interest, dividends, principal and other indebtedness subsequently collected on account thereof, in safekeeping per Section 69.031, Florida Statutes, subject to the instructions of the as authorized by court order. This Acceptance of Designation as Depository and Receipt of Assets is executed in the Depository's name by one of its authorized officers on . The original has been filed with the Court and a copy given to the (Depository) By: (Title) A-1 Section:ACCEPTANCE OF DESIGNATION AS DEPOSITORY AND RECEIPT OF ASSETS(Name and Address of Depository)IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT, IN AND FOR MIAMI-DADE COUNTY, FLORIDAName of DepositoryAddress of DepositoryIN RE: GUARDIANSHIP OFWard'sWard's Guardian of the Propert y Ward's Guardian of the Propert y . American LegalNet, Inc. www.FormsWorkFlow.com