Receipt Of Funds Into Blocked Financial Account
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Receipt Of Funds Into Blocked Financial Account Form. This is a Washington form and can be use in King Local County.
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Tags: Receipt Of Funds Into Blocked Financial Account, 35, Washington Local County, King
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IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON
IN AND FOR THE COUNTY OF KING
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In the Guardianship of:
____________________,
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An Incapacitated Person.
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Case No.:
RECEIPT OF FUNDS INTO
BLOCKED FINANCIAL ACCOUNT
(RCP)
RECIEPT is hereby acknowledged of $____________________, deposited with the
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undersigned by _________________, who is the [ ] Guardian, [ ] Guardian ad Litem, or
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[ ]Attorney for ______________________________(name of Incapacitated Person). The
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deposit was made into Account No. ______________________(Last four digits).
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The undersigned, financial institution agrees to hold this account and any subsequent
deposits to the account and not to allow any withdrawals of the funds or securities from the
institution, except under Order of this Court. However, the institution may move the funds
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into different accounts, securities or investment vehicles without prior court order, provided
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the proceeds are not released from the control of the institution as a part of the transfer or
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transaction.
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RECEIPT OF FUNDS INTO BLOCKED
ACCOUNT - 1
12/2005 REVISED GUARDIANSHIP FORMS
American LegalNet, Inc.
www.USCourtForms.com
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This receipt is binding on all successors, transferees, assignees, agents and
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employees of the undersigned financial institution.
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I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE
STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
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Signed at ________________, Washington, ___________, ____200__.
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Signature
Printed Name and Title
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Name of Bank/Financial Institution
Telephone/Fax Number
City, State, Zip Code
Email Address
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RECEIPT OF FUNDS INTO BLOCKED
ACCOUNT - 2
12/2005 REVISED GUARDIANSHIP FORMS
American LegalNet, Inc.
www.USCourtForms.com
