Free ______________________County, Colorado District Court - Colorado

District Court Denver Probate Court ________________________________ County, Colorado Court Address: __________________________________________

In the Interests of:
__________________________________________________

COURT USE ONLY

Case Number: __________________ Protected Person/Minor Division:______ Courtroom: ______

ORDER FOR DEPOSIT OF FUNDS TO RESTRICTED ACCOUNT
It is Ordered that ________________________________________ (name of Fiduciary) shall open an account in a federally insured financial institution for the sole benefit of the Minor/Protected Person. The account shall be opened on behalf of the Minor/Protected Person. The account shall be opened using the sample title, "____ (Name of Fiduciary) as Conservator for _____ (Name Protected Person)". The Fiduciary shall deposit $ _______________________ and funds received subsequently into the account. This person may make internal transfers of funds in order to take advantage of changes in interest rates. It is Ordered that, except for internal transfers, the financial institution shall permit no withdrawals from the account(s), except by separate certified Order of this Court. It is further Ordered that an Acknowledgment of Deposit of Funds to Restricted Account (JDF 867) must be returned to the Court within 30 days. No attorney fees may be paid in this case until the Acknowledgment form is signed and returned to the Court.

Dated: __________________________

___________________________________________ Judge Magistrate

Certificate of Service
I certify that on ________________________ (date) a copy of this Order was served on each of the following:
Full Name Relationship to Protected Person Address Manner of Service*

*Insert one of the following:

Hand Delivery, First-Class Mail, Certified Mail, or Faxed. ___________________________________________ Signature

JDF 866

11/07

ORDER FOR DEPOSIT OF FUNDS TO RESTRICTED ACCOUNT