Application And Order To Transfer Restricted Funds Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application And Order To Transfer Restricted Funds Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Application And Order To Transfer Restricted Funds, 414, Missouri Local Circuit Courts, 7th Circuit (Clay County)
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
PROBATE DIVISION
No.
Matter of
, *minor -- *disabled
APPLICATION TO TRANSFER RESTRICTED FUNDS
As Conservator of the above named estate, I hereby state to the Court that I have funds
restricted in account #
at
and I want to transfer
the sum of $
, to
.
Wherefore, said Conservator requests an order of the Court authorizing the direct
transfer of
from
to
in restricted account.
THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE
UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND
BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A
FALSE AFFIDAVIT OR DECLARATION.
Date
Conservator
ORDER ALLOWING TRANSFER
The Court considers the above application and hereby orders the transfer of
$
to
in a restricted account, no withdrawal until further order of the Court.
Date
JUDGE
Form 414
Revised 7/23/2004
Clerk
Page 1 of 1
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