Colorado Court Forms Order Allowing Withdrawal Of Funds From Restricted Account
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1District Court
Denver Probate Court
___________________________________ County, Colorado
Court Address:
_______________________________________
In the Interest of:
COURT USE ONLY
Case Number:_______________
________________________________________
Protected Person/Minor
Division: ______ Courtroom: ______
ORDER ALLOWING WITHDRAWAL OF FUNDS FROM RESTRICTED ACCOUNT
This matter comes before the Court on the Motion to Withdraw Funds from Restricted Account filed on
_______________________ (date). The Court, having reviewed the Motion and supporting documentation, if
attached, and any responses received from interested persons, enters the following Orders:
T
he Motion is GRANTED.
The Conservator is authorized to withdraw $_____________ from the
account(s) specified in the Motion and as identified below:
Name and Address of Financial Institution
Account
Amount to
Number (last
Withdraw
4-digits only)
from Account
$
Total
$
The Conservator is required to file a copy of the receipt(s) for the purchase with the Court within ten
days.
Note: All Conservators are required to keep all original receipt(s).
The Motion is DENIED for the following reasons:
The Court further Orders:
Date: _____________________________
Judge
Magistrate
CERTIFICATION
I certify that this is a true and correct copy of the original in my custody.
Date: __________________________________
______________________________________
Probate Registrar/(Deputy)Clerk of Court
JDF 869
R4/09
ORDER ALLOWING WITHDRAWAL OF FUNDS FROM RESTRICTED ACCOUNT
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