IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI
In the Matter of:
No. __________________________
_______________________________________________
Minor
AGREEMENT OF DEPOSITORY FOR DEPOSIT
OF FUNDS IN RESTRICTED ACCOUNT
(DISPENSING WITH CONSERVATORSHIP)
Name of Institution: _______________________________________________________________________
Address: _________________________________________________________________________________
Depositor: _________________________________________
Savings Account No.: _______________________________
Deposit $ _____________________
Certificate of Deposit No.: ___________________________
Deposit $ _____________________
In consideration of deposit with undersigned of money in the above amount, in accordance with a court order
dispensing with conservatorship, the undersigned hereby certifies and agrees:
1. That the above amount is now on deposit in this institution as evidenced by the attached letter.
2. That we have been advised that pursuant to an Order of the Probate Division of the Circuit Court of St. Louis
County, Missouri, the deposit as indicated above and all additions resulting from any interest, dividends or other
income, may not be withdrawn, paid, redeemed, transferred, negotiated or liquidated except upon
presentation of a certified copy of an Order of the above named court authorizing and approving such
transaction or upon presentation of proof by the minor that he or she has attained the age of majority.
3. That all records pertaining to the above described deposit have been marked so that all interest, dividends or
other income earned on it may not be withdrawn, paid, redeemed, transferred, negotiated or liquidated without
approval from the Probate Division, Circuit Court, St. Louis County, Missouri, and the necessary administrative
steps have been taken to prevent such activity.
Dated this ____________ day of ____________________________________, ____________.
______________________________________________
Name of Institution
By: ___________________________________________
______________________________________________
Title
THIS AGREEMENT MUST BE ATTACHED TO A VERIFICATION OF DOLLAR AMOUNT ON THE
LETTERHEAD OF THE FINANCIAL INSTITUTION AND BE SIGNED BY AN OFFICER OF SAID
INSTITUTION.
For Court’s Use Only:
KADEF – Agreement of Depository Filed
CCPR024 Rev. 09/2013
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