Colorado > Statewide > Probate
Motion To Withdraw Funds From Restricted Account JDF 868 - Colorado
| Motion To Withdraw Funds From Restricted Account Form. This is a Colorado form and can be used in Probate Statewide . |
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District Court Denver Probate Court _________________________________ County, Colorado Court Address: ___________________________________________ In the Interest of: _________________________________________ Protected Person/Minor Attorney or Party Without Attorney (Name and Address): Phone Number:_________________ E-mail: ___________________ FAX Number:___________________ Atty. Reg. #:_______________ COURT USE ONLY Case Number:__________________ Division_______ Courtroom _______ MOTION TO WITHDRAW FUNDS FROM RESTRICTED ACCOUNT I, withdraw $ (name of Conservator(s)), respectfully request authority to , on deposit in the restricted account(s) listed below: Attach current bank statement. Name and Address of Financial Institution Account Number (last 4-digits only) Current Balance in Account $ $ Total The funds are requested for the following purchase/reasons(s): Attach supporting documentation for your request. Signature of Conservator and/or Attorney Date Address City, State and Zip Code Check if new address Date: _______________________ Signature of Conservator and/or Attorney Date Address City, State and Zip Code Check if new address _______________________________________ Signature of Minor if 12 years of age or over Certificate of Service I certify that on _________________________ (date) a copy of this Motion to Withdraw Funds from Restricted Account was served on each of the following: Name of Person to Whom You are Sending this Document (Interested Persons) Relationship to Protected Person Address Manner Service* of *Insert one of the following: Hand Delivery, First-Class Mail, Certified Mail, E-Served or Faxed. _____________________________________________ Signature JDF 868 R4/09 MOTION TO WITHDRAW FUNDS FROM RESTRICTED ACCOUNT American LegalNet, Inc. www.FormsWorkFlow.com
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