YourName: YourAddress: YourCity,State,ZIP: YourTelephoneNo: RepresentingSelf,WithoutanAttorneyINTHESUPERIORCOURTOFARIZONA,COUNTYIntheMatteroftheConservatorshipof:)CaseNo. ))PETITIONFORWITHDRAWAL )OFFUNDSFROMMINORS )RESTRICTEDACCOUNTMinor)ANDCONSENTOFMINOR Judge/CommissionerPetitioneralleges: 1.Thispetitionismadeby,whowasappointedconservatoroftheestateof,aminor,on.2.Theapproximatetotalvalueofthisminorsestateis:.3.Thefollowingassetsofthisminorareundercourtcontrol:TYPEOFASSET FINANCIALINSTITUTION ACCOUNTNO. APPROX.VALUE4.Petitioner,asconservator,hasneedoffundsforthisminorintheamountof forthefollowingpurposes:1of2 02/01/002001 © American LegalNet, Inc.5.TheFinancialStatement(s)ToBeSignedByCustodialParent(s)oftheMinorarefiledwiththis petition.6.Thepersonsentitledtonoticeofthisproceedingare:NAMEADDRESSRELATIONSHIPPetitionerrequeststhatthecourtissueanorderauthorizing(nameoffinancialinstitution)toreleasetheneededfundsfromaccount#and,ifapplicable,authorizingtheClerkoftheCourttoreleasethepassbook,funds,orcertificateofdepositto.Theundersignedswearsoraffirmsthatthestatementssetforthabovearetrueandcorrect,subjecttothepenaltiesofmakingafalseaffidavitordeclaration.DatePetitionersSignatureCONSENTOFMINOR*1.Iam,theminorwhosefundstheconservatorhaspetitionedtowithdraw. 2.Iwasbornandam14yearsofageorolder.3.Ihavereadthepetitiontowithdrawfundsfrommyaccount(s)andIconsenttotherequestsmade inthepetitionandwaivetherequirementofnoticeofthehearingonthepetition.DateMinorsSignature*Consentisrequirediftheminorwhosefundsarebeingwithdrawnis14orolder.2of2 02/01/002001 © American LegalNet, Inc.
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