Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > General
Receipt 202 - Missouri
| Receipt Form. This is a Missouri form and can be used in General Probate 7th Circuit (Clay County) Local Circuit Courts . |
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. CV_____________________ Matter of ______________________________________________ Disabled/Minor/Deceased RECEIPT I hereby acknowledge that I have received the following property from and Conservator/Personal Representative in the estate of Disabled/Minor/Deceased; in full satisfaction of the balance due to me in accordance with the Final Settl ement of the above estate, and the Order of this Court as follows: Si gnature Address STATE OF ) COUNTY OF ) On this _____ day of _________________________, 20_____, before the unde rsigned, personally appeared , to me know to be the person described in and who signed the same as h_____ free act and deed. IN TESTIMONY WHEREOF, I have hereunto signed my name and affixed my offi cial seal. NOTARY PUBLIC CLERK My commission Expires: BY Deputy Clerk Form 202 Page 1 of 1 Revised 9/19/03
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