Registry Fund Deposit Information Sheet

DALLAS COUNTY CLERK __ CIVIL SECTION __ PROBATE SECTION REGISTRY FUND DEPOSIT INFORMATION SHEET CASE #: _________________________________ CASE STYLE:________________________________ ________________________________ Section 1. MINOR INFORMATION NAME: ____________________________________________________________________ DATE OF BIRTH: ___________________________ SS #: ____________________________________ **A copy of the minor's Social Security Number (SSN) or Tax-ID is required when investing funds with a financial institution** Section 2. PARENT/NEXT FRIEND * NAME:___________________________________________________________________________ ADDRESS:___________________________________________________________________________ City State Zip PHONE #:______________________________ PHONE 2 #:___________________________________ EMAIL:____________________________________________________________________________ **FORM 1099-INT will be sent to this address every year. It is important to notify this office of any address changes** Section 3. GUARDIAN AD LITEM NAME:___________________________________________________________________________ ADDRESS:___________________________________________________________________________ City State Zip PHONE #:______________________________ PHONE 2 #:___________________________________ EMAIL:____________________________________________________________________________ Section 4. PLAINTIFF'S ATTORNEY NAME:___________________________________________________________________________ ADDRESS: ___________________________________________________________________________ City State Zip PHONE #:______________________________ PHONE 2 #:___________________________________ EMAIL:____________________________________________________________________________ Section 5. DEFENDANT'S ATTORNEY (If Applicable) NAME:____________________________________________________________________________ ADDRESS:____________________________________________________________________________ City State Zip PHONE #:____________________________ PHONE 2 #:____________________________________ EMAIL:____________________________________________________________________________ As of September 1, 2009 funds will automatically be invested per section 117 of the Local Government Code. The check should be payable to John F. Warren, County Clerk, FBO (minor's name). RETURN TO: Dallas County Trust Department 509 Main St. Records Building #309 Dallas, TX 75202 Phone: 214-653-6787(Civil) or 214-653-6788(Probate) Fax: 214-653-6785 Forms can be found at www.dallascounty.org * Dallas County Clerk Department * Online Forms* Trust Division American LegalNet, Inc. www.FormsWorkFlow.com