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Proof Of Blocked Accounts Form. This is a Nevada form and can be use in Clark County.
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Tags: Proof Of Blocked Accounts, PROF, Nevada County, Clark
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PROF
_________________________________
Name (Attorneys Include Bar No. & Firm)
_________________________________
Address
_________________________________
City/State/Zip
_________________________________
Telephone
_________________________________
In Proper Person OR Attorney for
DISTRICT COURT
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CLARK COUNTY, NEVADA
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In the Matter of the Guardianship of
_________________________________
Ward Name
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
A(n) Adult/Minor Ward.
Case No.
CASE NO.__________
Dept. No.
DEPT. NO.__________
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PROOF OF BLOCKED ACCOUNTS
(GUARDIANSHIP)
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The undersigned affirms that ________________________________________,
Name
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as Guardian of the Estate of______________________________________________,
Estate Name
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a Ward, has established an account, being Account No.________________________,
Acct. No.
in the cash sum of $
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Amount
,”
and/or for the securities and other
personal assets listed on the attachment to this Proof.
The undersigned acknowledges that these accounts bear a blocked/frozen
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Account Name
entitled “
designation, and that no money, securities or personal asset may be withdrawn without
. . .
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PROF Guardianship.doc/5/10/2005
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first presenting an Order from the Court authorizing the withdrawal.
DATED this Day day of
Month
, 20 Yr. .
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________________________________
Name of Financial Entity
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By:_____________________________
Authorized Officer
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Title:____________________________
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Submitted By:
___________________________________
___________________________________
Name
___________________________________
Address
___________________________________
City/State/ZIP
___________________________________
Telephone
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Afft_of_Entitlement_to Estate.doc 05/04
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