MISSOURI CIRCUIT COURT, TWENTY-SECOND JUDICIAL CIRCUIT PROBATE DIVISION, CITY OF ST. LOUIS IN THE MATTER OF: Estate No. Minor PETITION FOR AN ORDER TO DISPENSE WITH CONSERVATORSHIP Comes now , who is the (name) (relationship) of the minor herein and states that: Name Address and Domicile Date of Birth is/are the owner(s) of property of the value of $ each, which does not exceed the The parents of said minor(s) are: (indicate if deceased) (Name) (Name) (Address) Said minor(s) is/are in the custody of: (Name) (Address) who is the of the said minor(s). (relationship) 1 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 petition is made this day of , under oath or affirmation and its representations are true and correct to the best of the petitioner222s knowledge and belief, subject to the penalties of making a false affidavit or declaration. Signature of Attorney for Petitioner Signature of Petitioner Attorney222s Name (Typed) Petitioner222s Name (Typed) Street Address Street Address City State Zip Code City State Zip Code Telephone Number With Area Code Telephone Number With Area Code Missouri Bar Number Signature of Attorney for Petitioner Signature of Petitioner Attorney222s Name (Typed) Petitioner222s Name (Typed) Street Address Street Address City State Zip Code City State Zip Code Telephone Number With Area Code Telephone Number With Area Code Missouri Bar Number 2 American LegalNet, Inc. www.FormsWorkFlow.com