Affidavit For Receipt Of Funds
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Affidavit For Receipt Of Funds Form. This is a New Jersey form and can be use in Essex Local County.
Tags: Affidavit For Receipt Of Funds, I1, New Jersey Local County, Essex
Attorney of Record:
Docket No.: _________________
State of New Jersey
Essex County Surrogate’s Court
Hall of Records, Room 206
Newark, New Jersey 07102
JOSEPH P. BRENNAN, JR.
In the matter of the Minor:
PATRICIA A. TRABUCCO
RECEIPT OF FUNDS
PURSUANT TO N.J.S. 3B:12-6, ETC.
STATE OF NEW JERSEY
COUNTY OF ESSEX
Affidavit of Spouse, Father or Mother or Person Having the Care and Custody of the Minor and with whom the Minor Resides, to
Accepting Money or Personal Property of the Minor not Exceeding $5,000.00 Per Annum Pursuant To 3B:12-6 Etc.
__________________________________, with Social Security #:______________, being duly sworn, says that this deponent resides
at ______________________________ County of _____________, State of ______________, that they are the
_______________________, person having care and custody and with whom the minor resides and said minor,
____________________________, is ___________________________ years old:
That the personal estate of said minor does not exceed the sum of Five Thousand Dollars ($5,000.00) per annum and consists of:
__________________________________, that this deponent is therefore entitled to receive the same without Letters of Guardianship.
AND FURTHER same will be used for support and general use and benefit of the minor. I acknowledge receipt of the sum of
$____________________________ and any balance thereof will be turned over to the minor upon their reaching the age of majority.
Sworn and subscribed before me on
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