Withdrawal Payee Information Form - United States District Court

Download a blank fillable Withdrawal Payee Information Form - United States District Court in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Withdrawal Payee Information Form - United States District Court with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

UNITED STATES DISTRICT COURT
DISTRICT OF MINNESOTA
W
P
I
F
ITHDRAWAL
AYEE
NFORMATION
ORM
THIS DOCUMENT MUST BE FILED UNDER SEAL.
Under Local Rule 67.2, a party seeking leave to withdraw funds from the court registry
must file this form under seal. Each payee’s name on the form must match the name on
any proposed order.
Case Number:
Case Title:
Moving Party:
Full Name of Payee
Address of Payee
Social Security Number or
Employer Identification
Number of Payee
Note: The information collected on this form is provided to the depository institution
pursuant to I.R.S. Ruling 76-50. This information is used for administrative purposes
only and will be kept confidential.
Date: ______________________
__________________________________
Attorney or Unrepresented Party

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go