Washington > Local County > Spokane > Superior Court > Guardianship
Receipt Of Funds Into Blocked Account 37 - Washington
| Receipt Of Funds Into Blocked Account Form. This is a Washington form and can be used in Guardianship Superior Court Spokane Local County . |
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(Copy Receipt) (Clerks Date Stamp) SUPERIOR COURT OF WASHINGTON COUNTY OF In the Guardianship of: CASE NO. RECEIPT OF FUNDS INTO BLOCKED ACCOUNT (RCP) RECEIPT is hereby acknowledged of $ dollars deposited with the undersigned by , who is the Personal Representative, Guardian, Guardian ad Litem or attorney for the person named in the caption above. The deposit was made into Account No. . The undersigned financial institution agrees to hold this account and anyubsequent deposits to sthe account, and not allow withdrawal therefrom except under Order of the Court. I certify (or declare) under penalty of perjury under the laws of the State of Washington that to the best of my knowledge the statements above are true and correct SIGNED AT , WASHINGTON THIS DAY OF , 20 Authorized Signature Printed Name of Person Signing, Title Name of Bank of Financial Institution Branch Name Address Telephone/Fax Number City, State, Zip Code Email Address RECEIPT OF FUNDS INTO BLOCKED ACCOUNT PAGE 1 OF 1
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