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Get and Sign Jdf 867 Form
_______
ACKNOWLEDGMENT OF DEPOSIT OF FUNDS TO RESTRICTED ACCOUNT
__________________________________________ (name of federally insured financial institution),
acknowledges that funds have been deposited by ____________________ (name of fiduciary) as the
Conservator,
Guardian,
Next Friend, or
Parent for ___________________________ (name of
Protected Person or Minor) as follows:
Title of Account
Account
Number - last 4digits only
Amount
$
$
Total
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