San Diego — Declaration and Order For Transfer of Blocked Account Funds CIV-097 (Rev: 11/99)

Source: https://sdcourt.ca.gov/sites/default/files/sdcourt/generalinformation/forms/civilforms/civ097.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY(Name, state bar number, and address): FOR COURT USE ONLY To keep other people from seeing what you entered on your form, please press the Clear This Form button at the TELEPHONE NO.: FAX NO.: end of the form when finished. ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101-3827 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081-6643 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020-3941 RAMONA BRANCH, 1428 MONTECITO RD., RAMONA, CA 92065-5200 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910-5649 IN THE MATTER OF THE DISPUTED CLAIM OF JUDGE: _______________________________

DEPT: __________
A MINOR
DECLARATION AND ORDER FOR TRANSFER OF CASE NUMBER
BLOCKED ACCOUNT FUNDS (CCP 372, CRC 241, PRC 3600)

I, , trustee for the account of the above-named minor, request

that funds on deposit in (Bank and Branch)

Account Number , be transferred to a (Type of account, i.e., Α2 year CD≅ ΑPassbook,≅ etc.)

account in . (Bank and Branch) Funds being transferred are to be deposited in a blocked account subject to withdrawal or transfer only by order of the court

until such time as the minor attains the age of majority or is otherwise emancipated.

I declare under penalty of perjury, under the laws of the State of California, that the account to which funds are to be

transferred is federally insured.

Date: Trustee

ORDER

IT IS ORDERED that the above request be and is granted. Subsequent transfers or withdrawals shall be made only upon order

of the Court until the minor attains the age of majority or otherwise becomes emancipated. When said minor attains the age of

majority, or otherwise becomes emancipated; said depository, without further order of the Court, is authorized and directed to

pay by check or draft, upon proper demand, all monies herein ordered to be deposited, including interest, directly to said former

minor.

Date: Judge of the Superior Court

DECLARATION AND ORDER FOR TRANSFER

SDSC CIV-97(Rev. 11-99) OF BLOCKED ACCOUNT FUNDS

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