Verification Of Receipt And Deposit
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Verification Of Receipt And Deposit Form. This is a Ohio form and can be use in Lorain County (Court Of Common Pleas).
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Tags: Verification Of Receipt And Deposit, 22.3, Ohio County (Court Of Common Pleas), Lorain
Lorain County Probate Court
Judge James T. Walther
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 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
4/1/97
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