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Receipt And Agreement E-901M - North Carolina
| Receipt And Agreement Form. This is a North Carolina form and can be used in Estate Statewide . |
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File No. STATE OF NORTH CAROLINA Film No. County In The General Court Of Justice Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF: Name Of Ward/Decedent RECEIPT AND AGREEMENT Social Security No. G.S. 28A-8-1.1; 35A-1232Name And Address Of Guardian/Personal Representative Name Of Bank Or Insured Savings And Loan Association Account No. Date Received Amount Received $ To The Clerk Of Superior Court: The bank or savings and loan institution named above hereby acknowledges receipt of the sum indicated above, which was deposited in it by the guardian/personal representative named above. In consideration of the deposit, this bank or institution agrees that such money shall not be allowed withdrawn except on written authorization of the Court. It is understood that the income earned by the principal may be withdrawn without an authorization of the Court. Date Signature Of Authorized Official B Y Title ORDER It is ORDERED that the amount indicated above be deposited in the above-named bank or insured savings and loan association, and not be withdrawn without written authorization of the Court, and be excluded from the total value of all personal property in determining the amount of the bond of the guardian/personal representative. Date Signature Assistant CSC Clerk Of Superior Court AOC-E-901M, Rev. 8/97 1997 Administrative Office of the Courts Original-File Copy-Guardian Copy-Bank
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