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In the Circuit Court Third Judicial Circuit Bond County Form

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IN THE CIRCUIT COURT OF THE ______________ JUDICIAL CIRCUIT _______________ COUNTY, ILLINOIS IN RE THE GUARDIANSHIP OF:______________________________A MINOR NO. ______________ RECEIPT OF FUNDS—RESTRICTED ACCOUNT I. I hereby acknowledge receipt of $___________________________from ________________________________, Guardian of this Estate.1.The above funds were deposited in the following accounts:a.$__________________in account no.______________________b.$__________________in account no.______________________c.$__________________in account no.______________________d.$__________________in account no.______________________2.I am aware that the funds in these accounts are restricted and may not be released to anyone except upon further order of the Court or upon the minor attaining adult age which will occur on_____/____/____.______________________________________________ Signature of officer or employee of depository______________________________________________Title of signor and Name of depository______________________________________________Address of depository______________________________________________Phone Number of depository

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