Certification Of Restricted Deposit
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Certification Of Restricted Deposit Form. This is a Missouri form and can be use in 22nd Circuit (St. Louis City) Local Circuit Courts.
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Tags: Certification Of Restricted Deposit, Missouri Local Circuit Courts, 22nd Circuit (St. Louis City)
CERTIFICATION OF RESTRICTED DEPOSIT
Name of Institution
Address
Depositor
Certificate of Deposit Number
Amount on Deposit $
Estate of
Probate Division Number
WE HEREBY CERTIFY
1.
That the above amount is now on deposit in this institution as evidenced by the aboedescribed certificate of deposit issued on the
.
, 20
day of
2.
That the records of this institution pertaining to said certificate have been so marked as to
indicate that all interest, dividends or other income earned on, or resulting therefrom, are
to be;
a)
deposited in savings account number
of this institution and are not to be disbursed in any other manner, or,
b)
added to the amount deposited with this institution as a part of the certificate of
deposit above-described.
3.
That we have been advised that pursuant to an Order of the Probate Division, St. Louis
Circuit Court, the above-described certificate of deposit and the present balance in said
savings account, together with all additions thereto, may not be withdrawn , paid,
redeemed or liquidated, except upon presentation of a certified copy of an Order of the
Probate Division, 22nd Judicial Circuit Court, authorizing and approving such withdrawal,
payment, redemption or liquidation.
4.
That the above-described certificate of deposit bears on its face, a statement of a
restriction indicating that said certificate may not be sold, redeemed, liquidated,
transferred, negotiated or paid except upon Order of the Probate Division, 22nd Judicial
Circuit Court.
Dated this
,
day of
.
Name of Institution
By
Approved:
Title
Personal Representative/Conservator of the
Est. of
Estate No.
Attorney
Address
City
State
Zip Code
Telephone No.
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