Verification Of Unrestricted Deposits
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Verification Of Unrestricted Deposits 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 Unrestricted Deposits, 10534, 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 UNRESTRICTED DEPOSITS
This is to certify that _
_, the fiduciary of the above captioned estate, maintains the
deposits described on the reverse side of this verification for which deposits constitute fiduciary
funds.
The above named fiduciary has no ownership interest in or right of survivorship to any of
the funds 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: __________________________________________________
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Due Date on
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Amount Includes Interest
to Following Date
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