IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PINELLAS COUNTY, FLORIDA PROBATE DIVISION REF #: - - GD - Section IN RE: The GUARDIANSHIP of RESTRICTED GUARDIANSHIP DESIGNATED DEPOSITORY ORDER On the petition of , as guardian of the property of (The Ward) for authorization to deposit assets of the Ward described as: THE BELOW INFORMATION IS REQUIRED Account Type Balance: with the financia l institution of as a depository as provided by Section 69.031, Florida Statutes, 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 Sections 744.351(6) and 69.031, Florida Statutes, assets of the Ward to be held by said depository s ubject to such instructions by the Guardian AUTHORIZED BY ORDER OF THE COURT directed to the financial institution , and all interest, dividends, principal and other debts collected by the financial institution shall be hel d in safekeeping. 2. The financial institution shall not allow any withdrawal or disbursement of funds without a court order. 3. Any person or corporation having possession or control of any such assets of the Ward, or owing interest, dividends, principal or other indebtedness on account the reof, shall, upon the demand of the depository designated herein, pay and deliver such assets, interest, dividends, principal or other indebtedness to the depository, and the receipt by the designated depository shall relieve the person or corporation from all further responsibility therefor. 4. 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 such copy of th is order. American LegalNet, Inc. www.FormsWorkFlow.com 5. The depository is directed to file with this court its receipt for all assets of the Ward received by it, and the receipt shall include the account number, the account type and the balance, and to give a copy thereof to the guardian of the pr operty of the Ward. ORDERED Copies to: Attorney for guardian(s) or guardian(s), if self - represented American LegalNet, Inc. www.FormsWorkFlow.com