ACKNOWLEDGMENT OF DEPOSIT
OF RESTRICTED FUNDS
I HEREBY CERTIFY on this day of , 20 , that funds in the
amount of
($ ) have been deposited into account number
and that said account is registered as follows:
, guardian for
, a minor,
SUBJECT TO WITHDRAWAL ONLY BY ORDER OF THE CIRCUIT
COURT FOR MONTGOMERY COUNTY, MARYLAND.
Case ID Family Law No.:
Financial Institution Signature of Authorized Officer
of Financial Institution
Address Telephone Number
City State Zip
THIS FORM MUST BE RETURNED WITHIN 60 DAYS OF DATE OF APPOINTMENT
TO:
Trust Clerk
Circuit Court for Montgomery County
50 Maryland Avenue, North Tower Room 2400
Rockville, MD 20850
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