Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Minors And Adults
Verification Of Conservators Possession Of Securities 409 - Missouri
| Verification Of Conservators Possession Of Securities Form. This is a Missouri form and can be used in Minors And Adults Probate 7th Circuit (Clay County) Local Circuit Courts . |
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. Matter of , *minor - *disabled. VERIFICATION OF CONSERVATORS POSSESSION OF SECURITES The undersigned hereby certifies that , AS conservator of the estate of , did on the _____ day of ______________, 20___, exhibit to the following securities which were in h___ possession and were assets of said *minor___ *disabled___ person. There are no other names on the account(s) except as follows: Stocks, Bonds, Serial Numbers Interest Date of Face Value, If Any Notes, etc Rate Maturity 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: REQUIRES A SIGNATURE Title: INSTRUCTIONS : Do not restrict regular checking accounts. Any erasures or corrections must be initialed by a depository agent. *strike if inapplicable Form 409 Page 1 of 1 Revised 3/14/2003
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