COURT OF COMMON PLEAS OF SCHUYLKILL COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION
In Re: | No. | | | No. | |
| | |||
a Minor | | | ||
| | Minor's Compromise |
ORDER OF COURT
AND NOW, this _____ day of ________, 20___, at _______.m., upon consideration of the Petition for Approval of Minor's Settlement, it is hereby ORDERED and DIRECTED that the Compromise Settlement in the sum of ____________ Dollars ($_________) is APPROVED, and that the Settlement be distributed as follows:
Counsel for petitioners is ORDERED to cause the restricted account to be created and to file an affidavit of deposit of minor's funds within thirty (30) days with the Clerk.
If no withdrawals are made from the account prior to the minor reaching his/her majority, the institution may pay over the funds when the minor attains age eighteen (18) years, upon the joint requests of the natural parent(s) and the former minor without further Order of this Court.
BY THE COURT,
________________
COURT OF COMMON PLEAS OF SCHUYLKILL COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION
In Re: | No. | | | No. | |
| | |||
a Minor | | | ||
| | Minor's Compromise |
AFFIDAVIT OF DEPOSIT OF MINOR'S FUNDS
The undersigned, counsel for ________________, parents and natural guardians of _____________, a minor, hereby certifies that the net settlement amount of $_______ as set forth in this Court's order dated __________ was deposited by ________ into a restricted, federally insured account, marked "NOT TO BE WITHDRAWN UNTIL THE MINOR REACHES THE AGE OF EIGHTEEN (18), EXCEPT FOR THE PAYMENT OF LOCAL, STATE AND FEDERAL INCOME TAXES ON INTEREST EARNED BY THE SAVINGS ACCOUNT OR CERTIFICATE, IF ANY, OR UNTIL FURTHER ORDER OF THIS COURT" on ___________. Account No. ______ is entitled: _____________, a minor. Proof of deposit is attached hereto as Exhibit A.
_______________________________________________
Counsel for Parents and Natural Guardians of _______________, a minor
Sch. Cnty. Pa. 5.6D