Petition To Purchase Burial Policy Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition To Purchase Burial Policy Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Petition To Purchase Burial Policy, 349-A, 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-
:
ESTATE NO.
:
Defendant(s)
:
. . . . . . . . . . .IN .THE . . . . . . . . . .OF . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . MATTER . . .
, DISABLED.
PETITION TO PURCHASE BURIAL POLICY
THE PEOPLE OF THE STATE OF NEW YORK
TO
The undersigned Conservator states to the Court that there are sufficient funds
belonging to the estate of
, to purchase
the
GREETINGS: burial insurance that it would be in the best interest of said estate to purchase said
policy, not to exceed the value of
, payable to the
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
estate of the ward. This policy should be made irrevocable.
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to WHEREFORE, Petitionerwitness in the action on the part an the
testify and give evidence as a request this Court to enter of order authorizing him/her
to purchase the burial insurance with a face value not to exceed $
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 AND REPRESENTATIONS IN THISall damages sustained as a
THE STATEMENTS issued for a maximum penalty of $50 and DOCUMENT ARE
result of your failure to comply.
MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY
Court in
Witness, Honorable AND BELIEF. I UNDERSTAND THEY one of MADE SUBJECT TO THE
, ARE the Justices of the
KNOWLEDGE
County,
day of
, 20
PENALITES OF MAKING A FALSE AFFIDAVIT OR DECLARATION.
(Attorney must sign above and type name below)
Dated:
Attorney(s) for
Conservator
Office and P.O. Address
Form 349-A
Revised 3/14/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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