PROMULGATION OF AMENDMENTS TO THE MINNESOTA GENERAL RULES OF PRACTICE FOR THE DISTRICT COURTS, TITLE II, RULES GOVERNING CIVIL ACTIONS, FORMS 145.1 AND 145.2.
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State of Minnesota District Court County of Judicial District Case Type: Case No. Defendant/Respondent MinnesotaGeneralRulesofPractice) ("Financial Institution") acknowledges receipt of the sum of $ in this action. 2. Financial Institution acknowledges receipt of the Order Approving Settlement and For Deposit Into Restricted Account dated delivered remain subject to that order in the account specified below: Name of Depository: Branch Name: Branch Address: (Place on seDarate Account Number: form I l.l*) Date Account Opened: Current Balance: $ 3. This account is a federally insured, restricted account, and no withdrawal of either principal or interest shall be allowed by Financial Institution without a signed court order in this case. Dated: Type or Print Name Signature: Title: District Court Judicial District State of Minnesota County of Case Type: Plaintiff/Petitioner Case No. Defendant/Respondent (Pursuant to Rule 145 of the Minnesota General Rules of Practice) ("Movant") requests an order of permitting withdrawal of funds now held in a restricted account pursuant to a minor settlement approved in this action on . Movant brings this Motion as the (Minor, now past the age of majority-Date of Birth ) or to minor. (Specify whether trustee, custodian, parent, legal guardian, conservator, or other specified role). 2. Funds are now held on behalfof in the following account: Name of Depository: Branch Name: Branch Address: (Place on seoarate Account Number: Date Account Opened: Current Balance: $ or $ _ on _ for the purpose of $ _ on _ for the purpose of form I 1.1*) on _ for the purpose of _ tr Check if additional space is necessary, and attach a separate sheet with $ that information. 4. Movant seeks the release of funds in the amount of $ for the following reason: Minor has reached the age of l8 and this is a final distribution or The funds will be used for the benefit of the minor in the following way: tr Check if additional space is necessary, and attach a separate sheet with that information. 5. Funds should tr be disbursed as follows: Check if additional space is necessary, and attach a separate sheet with that information. I declare under oath and penalty of perjury under the laws of the State of Minnesota that the foregoing is true and correct and that any funds released pursuant to this request will be used for the benefit of the minor and in the way stated. Type or Print Name Dated: Sworn/affirmed before me this day of Notary Public/ Deputy Court Administrator ORDER APPROVING RELEASE OF FUNDS Pursuant to the foregoing Motion, IT IS HEREBY ORDERED that 1. Movant is authorized to withdraw funds to be made payable as follows: 2. This is a final distribution of funds from this account and the account may accordingly be closed following this final distribution or This is not a final distribution of funds and this account must be maintained as to the remaining funds and subject to all restrictions on distribution previous ordered. 3. Other provisions: Judge of District Court
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