Heard and Granted ___________________________ COMMISSIONER IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI STATE OF MISSOURI COUNTY OF ST. LOUIS } } SS. } Estate No. __________________ PETITION FOR AN ORDER TO DISPENSE WITH CONSERVATORSHIP To the Honorable Probate Judge: Comes now ___________________________________________, who is the __________________________ (relationship) of the minor(s) herein, and states that: Name Date of Birth Domicile Address ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ is/are the owner(s) of property of the value of $_________________________ each, which does not exceed the value of $10,000.00 and is described as follows (describe the source of the funds): The parents of said minor(s) are: (indicate if deceased) _______________________________________________________________________________________________ (Names) (Address) Said minor(s) is/are in the custody of: ________________________________________________________________________________________________ (Names) (Address) who is the _______________________________ of the said minor(s). (relationship) American LegalNet, Inc. www.FormsWorkFlow.com Petitioner requests that an order for the transfer of assets of the named minor(s) be entered without the appointment of a conservator or giving of bond. WHEREFORE, Petitioner prays that the assets herein set forth be delivered to ___________________________ __________________________________________________ in the following manner: (name of bank where money will be placed) In an interest bearing certificate of deposit titled solely in the name of the minor, said account to be restricted so that no withdrawal of either interest or principal may be made without written order of the Court OR payable to the minor upon attaining the age of majority. The foregoing is made under oath or affirmation and its representations are true and correct to the best of applicant’s knowledge and belief, subject to the penalties of making a false affidavit or declaration. _________________________________________________ _____________________________________________ Attorney’s Signature Applicant’s Signature _________________________________________________ _____________________________________________ Attorney’s Name (Typed) Applicant’s Name (Typed) _________________________________________________ _____________________________________________ Street Address Street Address _________________________________________________ _____________________________________________ City City State Zip Code _________________________________________________ Telephone No. State Zip Code _____________________________________________ Telephone No. __________________________________________________________ Bar No. American LegalNet, Inc. www.FormsWorkFlow.com