Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Minors And Adults
Verification Of Restricted Deposit Of Securities 408 - Missouri
| Verification Of Restricted Deposit Of Securities Form. This is a Missouri form and can be used in Minors And Adults Probate 7th Circuit (Clay County) Local Circuit Courts . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. Matter of , *minor - *disabled. VERIFICATION OF RESTRICTED DEPOSIT OF SECURITIES The undersigned hereby certifies that __he is an official of the below named depository, which had a deposit on the ______ day of _____________________, 20___, the following described securities for safekeeping in the name of , as Conservator of the estate of , *minor__, *disabled__. There are no other names on the account(s) except as follows: _____. Said deposits of securities have been made and accepted with the specific contract and agreement that they are subject to the order of the Probate Division of the Circuit Court of Clay County, Missouri and, no withdrawals will be permitted from such deposit except on the order of the Court. 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: *strike if inapplicable Form 408 Page 1 of 1 Revised 3/14/2003
|
|||||||
