Declaration Of Guardian Assets Held In Financial Institutions Form. This is a Washington form and can be use in King Local County.
Tags: Declaration Of Guardian Assets Held In Financial Institutions, 16, Washington Local County, King
1 2 3 4 5 6 7 8 9 IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR THE COUNTY OF KING 10 In the Guardianship of: 11 ______________________________, 12 13 14 An Incapacitated Person. ) ) ) ) ) ) ) Case No.: DECLARATION OF GUARDIAN: ASSETS HELD IN FINANCIAL INSTITUTIONS (DCLR) The Guardian of the Estate of the person named above makes the following 15 declaration pursuant to the provisions of RCW 11.92.096: 16 1. Cause Number: ______________________________ 17 2. The Guardian was appointed by order entered on _____________________________ 18 3. The Incapacitated Person’s name is: _______________________________________ 19 4. The number of each account holding the assets of Incapacitated Person and the number 20 of the Safety Deposit Box, if any, in the Incapacitated Person’s name are: Account Number: ______________________________ Account Number: ______________________________ 22 Safety Deposit Box Number: ______________________________ 23 5. Address of Client or Depositor. The Incapacitated client of depositor has the following 24 address: ______________________________ 25 6. Name and Address of Guardian to be provided assets or access to Assets: _________ 21 26 DECLARATION OF GUARDIAN ASSETS HELD IN A FINANCIAL INSTITUTION- 1 12/2005 GUARDIANSHIP FORMS American LegalNet, Inc. www.USCourtForms.com 1 7. The Description of and the Value of the assets, or, where the value cannot be readily 2 ascertained, a reasonable estimate thereof is as follows, and the Guardian receives delivery 3 or control of each asset solely in its capacity as Guardian. 4 8. The date the Guardian assumed control over the assets was: ____________________ 5 6 7 8 9. A true and correct copy of the Letters of Guardianship duly issued by a Court to the Guardian is attached to this declaration. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. Signed at ________________, Washington, ___________, ____200__. 9 10 11 Signature Printed Name Address Telephone/Fax Number City, State, Zip Code Email Address 12 13 14 15 16 17 18 19 20 21 22 23 24 Important information for the person completing this form: DELIVERY OF ASSETS TO GUARDIAN All financial institutions as defined in RCW 30.22.040 (12), all insurance companies holding a certificate of authority under chapter 48.05 RCW, or any agent who constitutes a salesperson or broker dealer of securities under the definitions of RCW 21.20.005 (hereafter individually and collectively referenced as “institution”) shall provide the Guardian access and control over the asset(s) described in (a)(vii) of RCW 11.92.096, including but not limited to delivery of the asset to the Guardian, upon receipt of the affidavit as outlined therein. /// /// /// 25 26 DECLARATION OF GUARDIAN ASSETS HELD IN A FINANCIAL INSTITUTION- 2 12/2005 GUARDIANSHIP FORMS American LegalNet, Inc. www.USCourtForms.com