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Proof Of Restricted Account - Arizona
| Proof Of Restricted Account Form. This is a Arizona form and can be used in Children And Family Law Superior Court Coconino Local County . |
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(1) Person Filing: Street Address: City, State, Zip: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO In the Matter of the Guardianship and/or Conservatorship of (2) Ward 1: Ward 2: Ward 3: [ ] An Adult [ ] A Minor (4) Depository Name: Address: This depository has opened the following accounts: (5) "The estate of (6) Type Account Number $ $ $ Each account is restricted. No withdrawal is allowed without a certified court order. I have received a certified copy of the court order restricting these accounts dated (7) , and I agree, on the depository's behalf, to comply with it. Manager's Signature*: Title: Printed Name: *Must be signed by a Bank Branch Manager or a Resident Manager for an Investment Securities Dealer. State of Arizona County of Subscribed and sworn before me this date: Seal: Revised March 2005 (3) Case Number: GC PROOF OF RESTRICTED ACCOUNT FROM DEPOSITORY OR FINANCIAL INSTITUTION , ward, by , conservator": Balance ) ) ) by: Notary Public: Notary Expiration Date: Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkflow.com
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