Verification Of Conservators Possession Of Securities
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Verification Of Conservators Possession Of Securities Form. This is a Missouri form and can be use in 16th Circuit (Jackson County) Local Circuit Courts.
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Tags: Verification Of Conservators Possession Of Securities, 10535, Missouri Local Circuit Courts, 16th Circuit (Jackson County)
IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI - PROBATE DIVISION
AT _
IN THE ESTATE OF
_
_
ESTATE NUMBER
_,
_
_
Protectee.
VERIFICATION OF CONSERVATOR’S POSSESSION OF SECURITIES
This is to certify that _
_, the fiduciary of the above captioned estate, maintains the
securities described on the reverse side of this verification for which securities consist of
fiduciary property.
The above named fiduciary has no ownership interest in or right of survivorship to any of
the securities described herein except as follows:
_
_
The undersigned swears that the matters set forth herein are true and correct to the best
knowledge and belief of the undersigned, subject to the penalties of making a false affidavit or
declaration.
Dated: ________________
SIGNATURE: __________________________________________________________
TITLE: ________________________________________________________________
DEPOSITORY: _________________________________________________________
ADDRESS: ____________________________________________________________
TELEPHONE NUMBER: _________________________________________________
1
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Stocks, Bonds, Notes,
etc.
Serial No.s
Interest Rate
2
Date of Maturity
Face Value
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