Petition for Depository with Investment Powers

Case Number:

PROBATE DIVISION

Petitioner, _______________________________, alleges:

1. Petitioner _________________ appointed the above named

2. Petitioner _________________ the following assets (Assets) of the

3. Petitioner desires to deposit these Assets with a depository as provided by

Section 69.031 and Section

744.351 (6), Florida Statutes, for safekeeping and prudent investment under
Chapter 518, Florida

Statutes.

4. Due to the substantial value of these Assets and the Internal Revenue Code's
requirements, Petitioner

believes it is in the best interests for these Assets to be placed in a designated

financial institution that can provide investment services as well as safekeeping of
funds.

5. _________________________, whose address is

_______________________________________, is a

financial institution doing business in Florida that offers both safekeeping and
investment services. It is

willing to act as the designated financial institution under Section 69.031 and
Section 744.351 (6),

Florida Statutes, for safekeeping and investment of the Ward's intangible Assets
[Depository].

Section:

Petitioner requests that an order be entered:

(a) Designating the above institution as Depository for the Assets.

(b) Directing that any person or entity having possession or control over any of the
Assets shall pay
and deliver such Assets to the Depository, upon its demand, and that the
Depository's receipt shall

relieve the person or corporation from further responsibility thereof.

(c) Authorizing the Depository to hold the Assets it receives in a fiduciary account
for the benefit

and to invest and reinvest the Assets in accordance with the standards set forth in
Section 518.11 and

Section 744.444(10), Florida Statutes.

(d) Authorizing the Depository to invest the Assets in one or more consolidated
funds in which separate

fiduciary accounts have undivided interests, provided that separate accounting is

maintained for the

Assets.

(e) Directing the Depository to hold all Assets it receives and all interest, dividends,
principal and debts

collected by it on account thereof in safekeeping, subject to the Petitioner's

instructions as authorized by court order. The Depository, however, shall pay any
Florida taxes on the Assets to Florida's Department of Revenue as well as all federal
income tax incurred to the Internal Revenue Service, without further court order.

(f) Authorizing the Depository, per Section 69.031(4), Florida Statutes; to deduct,
from time to time, a

reasonable amount for its services and expenses from the Assets it holds.

(g) Directing the Depository to file with the court its acceptance of designation as
depository and its receipts for all Assets received, and to give a copy thereof to the
Petitioner.

Under penalties of perjury, I declare that I have read the foregoing, and the facts
alleged are true, to the best of my knowledge and belief.

SIGNED on this _______ day of _________________ 20___,

Attorney for Petitioner

Florida Bar No:

Address:
Telephone:

Name:

Petitioner

(Petitioner)

Email:

Email: