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Verification Of Restricted Deposit Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Verification Of Restricted Deposit, 704-T, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
-against- CIRCUIT COURT OF CLAY COUNTY, MISSOURI
:
PROBATE DIVISION
:
No.____________________
:
Defendant(s)
:
......................................................
VERIFICATION OF RESTRICTED DEPOSIT
, TRUST ESTATE
The undersigned hereby certifies that ___he is an official of the below-named depository, which had on
THEdeposit on the _____ day OF_______________________, 20_____, the following amounts in the name of
PEOPLE OF THE STATE of NEW YORK
, as Trustee___. There are no other names
on the account(s) except as follows:
TO
Said deposits have been made and accepted with the specific contract and agreement that they are
subject to
GREETINGS: the order of the Probate Division of the Circuit Court of Clay County, Missouri and, no withdrawals
will be permitted from such restricted amounts except on the order of the Court, however, the Trustee may
change the type of account that all business and excuses being laid order. you and each of you attend before
WE COMMAND YOU, within this depository without Court aside,
Type of
,
the Honorable
at the
Court
Amount
located at
County Account
of
Includes Int.
Is Interest
in room
,
day
,
, at
o'clock in the
noon, and at any recessed
Account of
Interest 20 Due Date On Total Amount To Following
Restricted?
Savings, CD, on the
or adjourned etc. to testify and give evidence as a witness in this action on the part of the
MM, date,
Number
Rate
CD
In Account
Date
YES or NO
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)
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
Attorney(s) A
THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING forFALSE AFFIDAVIT OR DECLARATION.
Date________________
Depository
Address
Office and P.O. Address
By:(signature)
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Title
Form 704-T
Revised 3/17/2003
Page 1 of 1
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