Petition For Withdrawal Of Funds From Blocked Account
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2MC–357
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
FOR COURT USE ONLY
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FAX NO. (Optional):
TELEPHONE NO.:
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CASE NAME:
PETITION FOR WITHDRAWAL OF FUNDS
CASE NUMBER:
FROM BLOCKED ACCOUNT
EX PARTE
1. Petitioner (name):
requests an order permitting the withdrawal of funds belonging to the person described below.
2. The person whose funds are to be withdrawn (name):
is
a.
a minor.
b.
a conservatee.
c.
a beneficiary.
d.
other (specify):
3. The information about the person identified in item 2 is as follows:
a. Date of birth:
b. Address:
c. Telephone number:
d. Current school (name and location):
e. Current employer (name and address):
4. If the person identified in item 2 is a minor, the minor's parents are
a. Mother (name, address, telephone number):
b. Father (name, address, telephone number):
5. Petitioner brings this petition as (indicate capacity):
a.
trustee.
b.
custodian.
c.
parent.
d.
guardian.
e.
conservator.
f.
other (specify):
6. Account status:
a. Name and title on account:
b. Depository (name):
(1) Branch:
(2) Address:
c. Account number:
d. Current balance:
Page 1 of 2
Form Adopted for Mandatory Use
PETITION FOR WITHDRAWAL OF FUNDS
Cal. Rules of Court, rules 3.1384, 7.954
Judicial Council of California
FROM BLOCKED ACCOUNT
MC-357 [Rev. January 1, 2007]
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