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Local Rule - State of Indiana

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PROBATE - APPENDIX ACERTIFICATION BY FINANCIAL INSTITUTIONTO:FROM:(Guardian's Name)RE: Guardianship <strong>of</strong> CAUSE NO.In order to comply with the rules <strong>of</strong> the Porter Superior Court, I am required to file a Certification<strong>of</strong> Account Balances. Please certify the balances and names on the accounts I have listed below.DATED:(Guardian)For Bank Use Only:I certify that on the day <strong>of</strong> , 20 , thelast day <strong>of</strong> the period covered by this accounting, there was on deposit in this institution to thecredit <strong>of</strong> the Guardian, the following balance:Name on AccountBalance DateAccount NumberName and Address <strong>of</strong> Institution:Signature <strong>of</strong> Certifying Officer:Date:Printed:Title:57

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