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Verification Of Unrestricted Deposits 703-T - Missouri

Verification Of Unrestricted Deposits Form. This is a Missouri form and can be used in Trusts Probate 7th Circuit (Clay County) Local Circuit Courts .
 Fillable pdf Last Modified 4/26/2005
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No.____________________ , TRUST ESTATE VERIFICATION OF UNRESTRICTED DEPOSITS The undersigned hereby certifies that ___he is an official of the below-named depository, which depository had on deposit on the _____ day of __________________________, 20_____, the following amounts in the name of _____________________________________________________, as Trustee___. There are no other names on the account(s) except as follows: _ Type of Account Amount Savings, DC, Account Interest Due Date Total Amount Includes Int. To MM, etc. Number Rate On CD In Account Following Date 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:(signature) Title Form 703-T Page 1 of 1 Revised 3/17/2003
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