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Certification By Depository G-4.082 - FLSSI Guardianship
| Certification By Depository Form. This is a FLSSI Guardianship form and can be used in Guardianship Administration . |
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IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division CERTIFICATION BY DEPOSITORY as an authorized officer or representative of , accepts appointment as depository of the assets of the Ward, certifies that the depository is doing business in the State of Florida and is a financial institution described in Section 69.031, Florida Statutes, or is a dealer as defined in Section 517.021(6)(a), Florida Statutes, and a member of the Security Investment Protection Corporation. As depository it will hold and disburse said assets pursuant to Section 69.031, Florida Statutes; provided, however, that the depository will incur no liability in connection with this acceptance until it has filed with the court its duly executed receipt for the assets. Signed on , . (Depository) By: (Title) [Print or Type Names Under All Signature Lines] Bar Form No. G-4.082 © Florida Lawyers Support Services, Inc. Revised January 1, 2013
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