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Annual Or Final Settlement (Green Paper Required) Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Annual Or Final Settlement (Green Paper Required), 219, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
**Must be submitted on green paper
Index No.
:
Calendar MISSOURI
CIRCUIT COURT OF CLAY COUNTY, No.
PROBATE DIVISION
:
Plaintiff(s)
-againstMatter of
__ Minor__ Personal Representative__ Conservator
No.
JUDICIAL SUBPOENA
:
, __ Deceased__ Disabled
.
:
SETTLEMENT
:
Annual—Final
Defendant(s)
:
. . . . The .following .settlement. is .a. just .and. true .accounting from ___________, 20___ to and
.... ......... .......... .. .... ... .... ......
including________, 20___
ASSETS PER INVENTORY OR LAST SETTLEMENT
THE PEOPLE OF THE household goods, wearing apparel________________
1. Furniture, STATE OF NEW YORK
___________ ___
2. Corporation stocks_____________________________________
___________ ___
3. Mortgages, bonds, notes________________________________
___________ ___
4. Cash, Bank and Savings & Loan Accounts__________________
___________ ___
TO
GREETINGS:
Insurance Policies____________________________________
___________ ___
5. All other personal property_____________________________ and each of you attend before
WE COMMAND YOU, that all business and excuses being laid aside, you ___________ ___
,
the Honorable
at the
CourtTOTAL
located at
County of
in room Year
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Voucher
or adjourned Day to testify and give evidence as aTRANSACTION action on the partNo. the
of
Mo. date,
DETAILS OF witness in this
Received/Credit Paid Out/Debit
Dollars
Cts
Dollars
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.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Form 219
Revised 3/14/2003
Page 1 of 2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
Cts.
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
Year
Mo. Day
DETAILS OF TRANSACTION
Plaintiff(s)
-against-
:
:
Index No.
Voucher
No.
Calendar No.
Received/Credit
Cts
Dollars
Paid
Out/Debit
Dollars
Cts.
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
TO
Totals
Balance
GREETINGS:
THE all business and excuses being laid aside, you and each of you
WE COMMAND YOU, thatABOVE BALANCE CONSISTS OF THE FOLLOWING: attend before
,
the Honorable
at apparel________________ ___________ ___
Court
1. Furniture, household goods, wearing the
located at
County of
in room 2. Corporation stocks_____________________________________ ___________any recessed
, on the
day of
, 20
, at
o'clock in the
noon, and at ___
or adjourned Mortgages, bonds, notes________________________________of the
3. date, to testify and give evidence as a witness in this action on the part
___________ ___
4. Cash, Bank and Savings & Loan Accounts__________________
___________ ___
Insurance Policies____________________________________
___________ ___
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
___________ ___
the party 5. whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
on All other personal property_____________________________
result of your failure to comply.
TOTAL
Witness,STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT the Justices of the OATH AND ARE
, one of ARE MADE UNDER
THE Honorable
Court in AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE
County,
day of
, 20
TRUE
SUBJECT TO THE PENALITIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION.
(Attorney must sign above and type name below)
Signature:
Signature
Personal Representative
Co-Personal Representative---Co-Conservator
Address:
Address:
Attorney(s) for
Phone
Phone:
Attorney:
Address
Office and P.O.Bar Number:
Address
Phone Number:
SETTLEMENT APPROVED
Date:_________________________________
Form 219
Revised 3/14/2003
Page 2 of 2
Telephone No.:
Facsimile No.:
JUDGE
E-Mail Address:
Mobile Tel. No.:
CLERK
American LegalNet, Inc.
www.USCourtForms.com
