Agreement To Accept Restricted Account
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Agreement To Accept Restricted Account Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Agreement To Accept Restricted Account, 412, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
:
JUDICIAL SUBPOENA
Plaintiff(s)
PROBATE DIVISION
-against:
No.
:
Matter of
, *minor - *disabled.
:
Defendant(s)
AGREEMENT TO ACCEPT :RESTRICTED ACCOUNT
......................................................
The
THE PEOPLE OF THE STATE OF NEW YORK
Hereby contracts and agrees to restrict and/or accept a transfer of funds directly from
TO
on behalf of
, as Conservator of the estate of
GREETINGS:
, *minor - *disabled;
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
and further agrees that said funds, accumulated interest, and any subsequent deposits,
,
the Honorable
at the
Court
located at
County of
will be placed in a federally insured investment as designated by Conservator and; said
in room
, 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
funds will not be released to the possession or control of the Conservator except upon
order of the Court.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE
MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY
Witness, Honorable
one MADE SUBJECT
KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ,ARE of the Justices of theTO THE
Court in
County,
day of
20
PENALTIES OF MAKING A FALSE, AFFIDAVIT OR DECLARATION.
Date:
(Attorney must sign above and type name below)
Depository
Address
Attorney(s) for
By
Title Office and P.O. Address
*strike if inapplicable
Form 412
Revised 3/14/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile
Page 1 of 1 Tel. No.:
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