IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI - PROBATE DIVISION AT IN THE ESTATE OF ESTATE NUMBER , Deceased. Protectee. PETITION TO DEPOSIT SECURITIES IN RESTRICTED CUSTODY (Sec. 473.160, RSMo) Now on this date, the fiduciary herein presents the court with a petition to deposit the securities describedin Appendix A attached to said petition in restricted custody. The court finds that it is to the best interests of the estate to authorize the deposit of said securities inrestricted custody with: upon the condition that said depository shall not permit the withdrawal of any of said securities except onfurther order of this court. It is, therefore, ORDERED that said fiduciary is authorized to deposit said securities with the above designateddepository upon condition that no withdrawals shall be made from said deposit except on further order of thiscourt and that, upon filing the receipt of the depository acknowledging receipt of said securities in restrictedcustody, the bond of the fiduciary *shall not be increased *shall be increased to the sum of $ *shall be reduced to the sum of $ . Dated: . PetitionerAttorney: MO BAR No... Address: Telephone Number: ( ) Fax Number: ( ) E-Mail Address: Form 10113 (NOTE: Appendix A. Must be attached to petition prior to filing).