Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Minors
Agreement To Accept Restricted Account 130-M - Missouri
| Agreement To Accept Restricted Account Form. This is a Missouri form and can be used in Minors Probate 7th Circuit (Clay County) Local Circuit Courts . |
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. Matter of , Minor . AGREEMENT TO ACCEPT RESTRICTED ACCOUNT The hereby contracts and agrees to accept a transfer of funds directly from on behalf of , a minor, and further agrees that said funds will be placed in a federally insured Certificate of Deposit th to be paid to said Minor on said Minors 18 birthday, which will be , unless there is further order of the Court. THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION. Date Depository Address By Title Form 130M Page 1 of 1 Revised 3/14/2003
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