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Verification Of Receipt And Deposit Form. This is a Ohio form and can be use in Butler County (Court Of Common Pleas).
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Tags: Verification Of Receipt And Deposit, 22.3, Ohio County (Court Of Common Pleas), Butler
PROBATE COURT OF BUTLER COUNTY, OHIO
IN THE MATTER OF
CASE NO.
VERIFICATION OF RECEIPT AND DEPOSIT
Pursuant to Court order, the sum of $
was deposited with
on the
day of
,
as evidenced by the Savings/Certificate of Deposit Account Number
.
This account is held solely in the name of
, a minor,
whose Social Security Number is
.
By accepting said deposit for said minor, this institution agrees that said deposit, together with accumulated interest,
shall be held and no part thereof released until minor attains the age of majority or upon further order of this Court.
Financial Institution
By
Authorized Officer
Typed or Printed Name
Phone Number
Date
FORM 22.3 - VERIFICATION OF RECEIPT AND DEPOSIT - PDF
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www.USCourtForms.com
4-1-2004