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Receipt Of Restricted Funds By A Former Minor PBGCD91f - Arizona

Receipt Of Restricted Funds By A Former Minor Form. This is a Arizona form and can be used in Juvenile Superior Court Maricopa Local County .
 Fillable pdf Last Modified 5/11/2012
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Petitioner's Name: Address: City, State, Zip Code: Telephone Number: Attorney's Bar Number (if applicable): Self or Attorney for Representing FOR CLERK'S USE ONLY SUPERIOR COURT OF ARIZONA MARICOPA COUNTY In the Matter of (check one or both) Guardianship Conservatorship of Case Number PB: A Minor RECEIPT OF RESTRICTED FUNDS BY A FORMER MINOR Notice to Conservator: Mail this signed and notarized receipt to Probate Court Administration within 30 days from the date of the Court Order releasing funds. Also mail this form to all parties who have appeared in the case, and to the former minor. I acknowledge that the funds in my restricted account(s) have been released in accordance with the Order of the Court releasing the funds. I have received all the funds held in the conservatorship to which I am entitled, as follows: A. B. C. Amount received: Date received: $ $ Name of financial institution that held the funds: Signature of Former Minor STATE OF ARIZONA COUNTY OF MARICOPA ) ) ss. by The above receipt was signed before me this date: My Commission Expires: Notary Public ©Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBGCD91f-041911 Page 1 of 1 REC American LegalNet, Inc. www.FormsWorkFlow.com
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