Missouri > Local Circuit Courts > 22nd Circuit (St. Louis City) > Probate
Certification Of Restricted Account - Missouri
| Certification Of Restricted Account Form. This is a Missouri form and can be used in Probate 22nd Circuit (St. Louis City) Local Circuit Courts . |
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CERTIFICATION OF RESTRICTED ACCOUNT Name of Institution Address Depositor Account Number Balance on Deposit $ We hereby certify that the above balance is now on deposit in this institution and that the records of this institution pertaining to said account have been so marked as to indicate that all interest, dividends or other income earned on, or resulting therefrom, are to be added thereto and to become a part thereof. We understand that, pursuant to an order of the Probate Division, St. Louis Circuit Court, the above balance and all additions thereto are subject to withdrawal from this institution only upon the presentation of a certified copy of an order of said Court authorizing and approving such withdrawal. Dated this day of , . Name of Institution By Approved: Title Personal Representative/Conservator of the Est. of Estate No. Attorney Address City Telephone No. State Zip Code American LegalNet, Inc. www.FormsWorkflow.com
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