CIV403 State ENG Rev 5/16www.mncourts.gov/formsPage 1 of 2State of Minnesota District Court County of:Select County Judicial District: Court File Number: Case Type: Plaintiff/Petitioner (first, middle, last) Defendant/Respondent (first, middle, last)vs./andMotion for Release of Minor Settlement Order (Form 145.2)1. ("Movant") requests an order permittingwithdrawal of funds now held in a restricted account pursuant to a minor settlement approved in this action on .Movant brings this Motion as the Date of Birth:orcustodian, parent, legal guardian, conservator, or other specified role.) Minor, now past the age of majority - to minor. (Specify whether trustee,2. Funds are now held on behalf of in the following account: Name of Depository: Branch Name: Branch Address: Account Number: (Place on separate form 11.1* or only include last 4 digits) Date Account Opened: Current Balance:*= As required by Rule 11.1 of the Minnesota General Rules of Practice3. Previous withdrawals from the account, each of which was approved by the Court, are as follows:or for the purpose of on $ None American LegalNet, Inc. www.FormsWorkFlow.com CIV403 State ENG Rev 5/16www.mncourts.gov/formsPage 2 of 2 $ on for the purpose of $ on for the purpose of Check if additional space is necessary, and attach a separate sheet with that information.4. Movant seeks the release of funds in the amount of for the following reason: Minor has reached the age of 18 and this is a final distribution The funds will be used for the benefit of the minor in the following way:or Check if any additional space is necessary, and attach a separate sheet with that information.5. Funds should be disbursed as follows: $ to $ to $ to Check if any additional space is necessary, and attach a separate sheet with that information.I declare under penalty of perjury under the laws of these State of Minnesota that the foregoing is true and correct, and that any funds released pursuant to this request will be used for the benefit of the minor and in the way stated. Dated: Signature County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com