Verification Of Receipt And Deposit {16-B}

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGECalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF: CASE NO. Minor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .VERIFICATION OF RECEIPT AND DEPOSITTHE PEOPLE OF THE STATE OF NEW YORK TOPursuant to Court order, the estate of the above named minor, in the sum of $ was deposited with on the day of , 20 , as evidenced by Savings/Certificate of Deposit Account Number . Said account is held solely in the name of , a minor, whose Social Security Number is and date of birth is .GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomBy accepting said deposit for said minor, this institution agrees that said deposit, including the interest earned thereon, shall be held and no part thereof released until minor attains the age of majority or upon further order of this Court.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.Financial Institution *Notice to Financial Institutions Do not sign this form unless you, one of the Justices of theCourt in Witness, Honorableday of, 20 County, are in receipt of a Sealed andAuthorized Officer Certified Entry from the Probate Court directing this deposit.(Attorney must sign above and type name below) Typed or Printed Name Phone Number Date I, , Attorney-at-law, hereby certify, that the within instrument was prepared and/or examined by me, and that the same, in my opinion, is correct and properAttorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:«HE27.C&amp;-Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comFORM 16-B VERIFICATION OF RECEIPT AND DEPOSIT</document>