Receipt Of Funds Into Blocked Financial Account Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
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, 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 Minor Settlement of:
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____________________,
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An Incapacitated Person.
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Case No.:
RECEIPT OF FUNDS INTO
BLOCKED FINANCIAL ACCOUNT
(RCP)
RECEIPT 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 Minor Beneficiary or
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Petitioner). The deposit was made into Account No. ______________________(Last four
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digits).
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The undersigned, financial institution agrees to hold this account and any subsequent
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deposits to the account and not to allow any withdrawals of the funds or securities from the
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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
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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.FormsWorkFlow.com