COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. : JUDICIAL SUBPOENA IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI Plaintiff(s) -againstAGREEMENT OF DEPOSITARY : FOR DEPOSIT OF FUNDS IN LIMITED ACCESS ACCOUNT : : Name of Institution: _____________________________________________________________________________ Defendant(s) _____________________________________________________________________________________ : ...................................................... Address: Depositor: _____________________________________________________________________, Conservator of the Estate of: _____________________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK Probate Division File Number: _____________________________________________________________________ TO Savings Account or Certificate of Deposit Number: _____________________________________________________ Amount of Deposit: ______________________________________________________________________________ GREETINGS: In consideration of deposit with undersigned of money in the above amount and reduction of the conservator’s bond by the court, undersigned hereby certifies and WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before agrees: , the Honorable at the Court is now County ofThat the above amountlocated aton deposit in this institution as evidenced by the in room attached ,letter. on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the That neither the amount on deposit as indicated above nor any part thereof nor any additional deposits thereto nor any interest, dividends or income thereon may be withdrawn, paid, redeemed, transferred, negotiated or liquidated by anyone except upon written order of the Probate Division of the Circuit Court of St. Louis County, Your failure to comply with this subpoena is punishable as a contempt of redemption, make you liable to Missouri, expressly and specifically authorizing a withdrawal, payment, court and will the party on whosenegotiation or liquidation and thatfor a records of the institution have all damages sustained as a transfer, behalf this subpoena was issued the maximum penalty of $50 and been result of your failure to comply. marked or the necessary administrative steps have been taken to prevent such withdrawals, payments, redemptions, transfers, negotiations or liquidations without court order. Witness, Honorable , one of the Justices of the Court in County, day of , 20 Dated this ______ day of ______________, 20____. (Attorney must sign above and type name below) ______________________________________________________ Name of Institution Attorney(s) for By: ___________________________________________________ ______________________________________________________ Title Office and P.O. Address THIS AGREEMENT MUST BE ATTACHED TO A VERIFICATION OF DOLLARNo.: Telephone AMOUNT ON THE LETTERHEAD OF THE FINANCIAL INSTITUTION AND BE SIGNED BY AN OFFICER OF SAID INSTITUTION. Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com