en-USFRANKLIN COUNTY FORM EGT-22.3A - VERIFICATION OF RECEIPT AND/OR DEPOSIT OF CUSTODIANen-USVERIFICATION OF RECEIPT AND/OR DEPOSIT OF CUSTODIAN en-USThe Probate Court of Franklin County, Ohio, on the en-US day of en-US, en-US, en-USby entry has ordered the Fiduciary to deposit with the custodial depository named below the following assets: NAME þ ACCOUNTþ AMOUNT DEPOSITED þ TYPE OF ACCOUNT þ (Last four digits only) þ en-US(C.D., Savings) þ en-USXXXXX þ þ þ en-USXXXXX þ þ þ en-USXXXXX þ þ þ en-USXXXXX þ þ en-USThe fiduciary has presented the assets for deposit together with a certified copy of the entry.en-USWherefore, the undersigned acknowledges the deposit and/or receipt of the assets described above and agrees to en-UShold the same subject to further orders of the Court.en-USBy accepting the above assets, this institution agrees to hold all instruments verifying the deposits en-US(certificates of deposit or savings products, etc.) and not to release any funds from these assets unless GUARDIANSHIP OF þ INCOMPETENT en-USen-US , DECEASEDen-USCASE NO. en-USPC-EGT-22.3A (Rev. 5-2017) þ þ þ þ þ en-USCustodial Depository þ þ Typed or Printed Name þ Date þ RETURN TO: þ en-USCustodial Desken-USFranklin County Probate CourtAmerican LegalNet, Inc. www.FormsWorkFlow.com