Verification Of Restricted Deposit Of Securities
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Verification Of Restricted Deposit Of Securities 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 Of Securities, 408, Missouri Local Circuit Courts, 7th Circuit (Clay County)
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
PROBATE DIVISION
No.
Matter of
, *minor - *disabled.
VERIFICATION OF RESTRICTED DEPOSIT OF SECURITIES
The undersigned hereby certifies that __he is an official of the below named depository, which had a
deposit on the ______ day of _____________________, 20___, the following described securities for
safekeeping in the name of
, as Conservator of the
estate of
, *minor__, *disabled__.
There are no other names on the account(s) except as follows:
_____.
Said deposits of securities have been made and accepted with the specific contract and agreement that
they are subject to the order of the Probate Division of the Circuit Court of Clay County, Missouri and, no
withdrawals will be permitted from such deposit except on the order of the Court.
Stocks, Bonds,
Serial Numbers
Date of
Rate
Notes, etc
Interest
Face Value, If Any
Maturity
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:____________________
Depository:
Address:
By:
TYPE OR PRINT NAME
SIGNATURE ( REQUIRED )
Title:
*strike if inapplicable
Form 408
Revised 9/23/2004
Page 1 of 1
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