Certificate Of Disbursements Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certificate Of Disbursements Form. This is a Florida form and can be use in Polk Local County.
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Tags: Certificate Of Disbursements, 170, Florida Local County, Polk
IN THE COUNTY COURT OF POLK COUNTY, FLORIDA
CIVIL DIVISION
CASE NO. ______________________________
Plaintiff,
vs.
Defendant.
______________________________________________/
CERTIFICATE OF DISBURSEMENTS
The undersigned Clerk of the Court certifies that he disbursed the proceeds received from the sale of the property
as provided in the order or final judgment to the persons and in the amount as follows:
AMOUNT
NAME
TOTAL
WITNESS my hand and the seal of the Court on ______________________________, 200___.
RICHARD M. WEISS, Clerk
Circuit and County Courts
Drawer CC-12, P. O. Box 9000
(S E A L)
Bartow, Florida 33831-9000
By____________________________________
Deputy Clerk
170.doc (08/97)
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