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 Lucas County (Court Of Common Pleas).
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Tags: Verification Of Receipt And Deposit, 16-B, Ohio County (Court Of Common Pleas), Lucas
PROBATE COURT OF LUCAS COUNTY, OHIO
JACK R. PUFFENBERGER, JUDGE
IN THE MATTER OF:
CASE NO. ______________________
Minor
VERIFICATION OF RECEIPT AND DEPOSIT
Pursuant to Court order, the estate of the above named minor, in the sum of $
was deposited with
on the
day of
, 20
, as evidenced by Savings/Certificate of Deposit Account
Number
. Said account is held solely in the
name of
, a minor, whose date of
birth is
.
By accepting said deposit for said minor, this institution agrees that said deposit, including the
interest earned thereon, shall be held and no part thereof released until minor attains the age of majority
or up further order of this Court.
*Notice to Financial Institutions
Do not sign this form unless you
are in receipt of a Sealed and
Certified Entry from the
Probate Court directing this
deposit.
Financial Institution
Authorized Officer
Typed or Printed Name
Phone Number
Date
I, _____________________, Attorney-at-law,
hereby certify, that the within instrument was
prepared and/or examined by me, and that the
same, in my opinion, is correct and proper.
«27.C@−
FORM 16-B – VERIFICATION OF RECEIPT AND DEPOSIT
REV 05/13/2008
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