Application To Waive Conservatorship Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application To Waive Conservatorship Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Application To Waive Conservatorship, 109-M, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI
JUDICIAL SUBPOENA
Plaintiff(s)
PROBATE :DIVISION
-against-
No.
:
Matter of
:
, minor.
Defendant(s)
:
APPLICATION . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TO. WAIVE CONSERVATORSHIP
(Section 475.330 RSMo.)
The undersigned applicant states to the Court that
THE PEOPLE OF THE STATE OF NEW YORK
Minor, who was born on the _____ day of
TO
a
, 20_____, and who resides
at
has an estate
the value of which does not exceed $10,000.00, which said estate consists of property
described and of value as follows:
GREETINGS:
; that the said minor
has no Conservator and that Conservatorship being laid waived under the of you attend Sec.
WE COMMAND YOU, that all business and excusesshould be aside, you and each provisions ofbefore
,
the Honorable
at the
Court
475.330 RSMo.
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
WHEREFORE,evidence as requests the order of thisthe part waiving Conservatorship of the
applicant a witness in this action on Court of the
or adjourned date, to testify and give
estate of the above minor and, ordering that the assets above described by deposited in a
restricted interest bearing account at
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
until the said minor becomes 18 years of age, which will be
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
, one IN THIS DOCUMENT ARE
THE STATEMENTS AND REPRESENTATIONSof the Justices of the
MADE UNDER OATHday of ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND
Court in
County,
, 20
AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF
MAKING A FALSE AFFIDAVIT OR DECLARATION.
(Attorney must sign above and type name below)
Date
Signature
Attorney(s) for
Relationship to minor
Address
Office and P.O. Address
Phone
Form 109M
Revised3/14/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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