Verification Of Receipt {4.27}

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF STARK COUNTY, OHIOCalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)GUARDIANSHIP OFCASE NO.VERIFICATION OF RECEIPT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TheProbateCourt of Stark County, Ohio on thedayof, ordered the Guardian of this estate to deposit ITHE PEOPLE OF THE STATE OF NEW YORK TOwith the undersigned the following assets belonging to the estate: Name Upon AccountBalanceMaturitv DateAccount No.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 ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of theThe Guardian has presented the assets for such deposit together with a certified copy of said order.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.The undersigned hereby acknowledges the deposit and/or receipt of the assets described above and agrees to hold the same subject t o further order of the Court. THE UNDERSIGNED AGREES NOT TO RELEASE ANY ASSETS, INCLUDING INCOME, UNLESS SO ORDERED IN ACCORDANCE WITH A CERTIFIED ENTRY ISSUED BY THE PROBATE COURT., one of the Justices of theCourt in Witness, Honorableday of, 20 County,Custodial Depository(Attorney must sign above and type name below)ByAuthorized OfficerAttorney(s) forTyped or printed nameOffice and P.O. AddressPhone numberTelephone No.: Facsimile No.: E-Mail Address:DateMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comSCPC FORM 4.27 -VERIFICATION OF RECEIPT</document>