Fill and Sign the Full Text of Ampquotdigest of Decisions of the Department of the Form

IN THE CHANCERY COURT OF THE _______ JUDICIAL DISTRICT OF _______ COUNTY, MISSISSIPPI IN THE MATTER OF _______________, A MINOR NO. _______ PETITION OF _______________, MOTHER AND NATURAL GUARDIAN OF _______________, A MINOR FOR PAYMENT OF INSURANCE PROCEEDS Comes now the Petitioner, _______________, mother and natural guardian of _______________, a minor, pursuant to Section 93-13-211, Mississippi Code of 1972, as amended, and would respectfully show unto the Court the following matters and facts, to-wit: 1. That Petitioner, _______________ , is an adult resident citizen of the _______ Judicial District of _______ County, Mississippi, and resides at _______, _______, _______, Mississippi _______.2.That Petitioner is the mother and natural guardian of _______________, a minor, who is _______ ( ___) years of age and resides with the Petitioner.3.That on _______ ___, 20___, an insurance policy in the amount of _______ Dollars ($_______) was issued on the life of _______________ by _______________ Life Insurance Company, being Policy No. _______. The beneficiary of said policy was _______________, granddaughter of _______________. 4.That _______________ died on _______ ___, 20___. That at the time of the death of _______________, said insurance policy was still in existence and the proceeds are payable to _______________, a minor. 5. That Petitioner is desirous that said proceeds from said insurance policy be paid to her as custodian of said minor, _______________, and that the proceeds be placed in a Federally insured bank with Petitioner as custodian under the Mississippi Uniform Gifts to Minors Act. The _______________ Life Insurance Company stands ready and willing to pay said insurance proceeds. WHEREFORE, PREMISES CONSIDERED, Petitioner, _______________, prays that she, as mother and natural guardian of _______________ , a minor, be authorized to accept payment of the aforesaid life insurance proceeds from the _______________ Life Insurance Company in the amount of _______ Dollars ($_______) on behalf of said minor and that Petitioner be authorized and directed to place said insurance proceeds in a Federally insured bank in the name of Petitioner as Custodian for _______________, a minor, under the Mississippi Uniform Gifts to Minors Act, and that upon payment as aforesaid the _______________ Life Insurance Company shall be relieved of any further liability with regard to said policy in accordance with Section 93-13-211, Mississippi Code of 1972, as amended. And Petitioner prays for general relief. Respectfully submitted, _________________________________________________,Mother and Natural Guardianof _______________, a MinorSTATE OF MISSISSIPPICOUNTY OF _______Personally appeared before me, the undersigned authority at law in and for the aforesaid jurisdiction, _______________, who, after being first duly sworn, acknowledged herself to be the mother and natural guardian of _______________, a minor, and further states on oath that the matters and facts set forth in the foregoing Petition are true and correct as therein stated. ________________________________________________ SWORN to and subscribed before me, this the ______ day of ________________,20___._________________________________NOTARY PUBLIC My Commission Expires: ______________________Of Counsel: _______________ - SBA #______________________ ______________________, MS _______Telephone No.: (___)-_______ IN THE CHANCERY COURT OF THE _______ JUDICIAL DISTRICT OF _______ COUNTY, MISSISSIPPI IN THE MATTER OF _______________,A MINOR NO. _______ ORDER AUTHORIZING _______________,CUSTODIAN OF _______________, A MINOR, TO RECEIVE PAYMENT OF INSURANCE PROCEEDS This cause came on this day to be heard on the Petition of _______________, mother and natural guardian of _______________, a minor, pursuant to Section 93-13-211, Mississippi Code of 1972, as amended, and the Court having considered the matter, finds the following: 1.That Petitioner, _______________ , is an adult resident citizen of the _______ Judicial District of _______ County, Mississippi, and resides at _______, _______, _______, Mississippi _______.2.That Petitioner is the mother and natural guardian of _______________, a minor, who is _______ ( ___) years of age and resides with the Petitioner.3.That on _______ ___, 20___, an insurance policy in the amount of _______ Dollars ($_______) was issued on the life of _______________ by _______________ Life Insurance Company, being Policy No. _______. The beneficiary of said policy was _______________, granddaughter of _______________. 4.That _______________ died on _______ __, 20___. That at the time of the death of _______________ , said insurance policy was still in existence and the proceeds are payable to _______________, a minor.5.That the proceeds from said insurance policy should be paid to Petitioner as custodian of said minor, _______________, and that the proceeds should be placed in a Federally insured bank with Petitioner as custodian under the Mississippi Uniform Gifts to Minors Act.IT IS, THEREFORE, ORDERED, ADJUSTED AND DECREED as follows: 1.That _______________, as Custodian of _______________, a minor, be and is hereby authorized to accept payment of the aforesaid life insurance proceeds from the _______________ Life Insurance Company with regard to Policy No. __________. 2. That Petitioner be and is hereby authorized and directed to place said insurance proceeds in a Federally insured bank in the name of Petitioner as Custodian for _______________, a minor, under the Mississippi Uniform Gifts to Minors Act. 3.That upon payment as aforesaid the _______________ Life Insurance Company shall be relieved of any further liability with regard to said policy in accordance with Section 93-13-211, Mississippi Code of 1972, as amended.SO ORDERED, ADJUDGED AND DECREED this the ______ day of _______, 20___.____________________________________C H A N C E L L O R Of Counsel: _______________ - SBA #_______ _______________ _______________ _______, MS _______Telephone No.: (___)-_______