Name
Address
City, State, Zip
Phone
Email
In the District Court of Utah
______Judicial District______County
Court Address ______
In the Matter of Protection for
______,
Protected Person / Order on Motion to Withdraw or Transfer Funds in a Restricted Account
______
Case Number
______
Judge

The matter before the court is the guardian’s/conservator’s motion regarding funds in a restricted account. Having considered the documents filed with the court, the evidence and the arguments, and now being fully informed,

The Court Orders:

(1)The motion is [ ] granted [ ] denied.

(2)[ ] The guardian/conservator is permitted to:

[ ]withdraw $______from a restricted accountheld by ______(name of financial institution).

[ ]transfer $______from a restricted account held by ______(name of current financial institution) to an account held by ______(name of proposed new institution).For the reasons and purposes described in the motion.

Judge’s signature may instead appear at the top of the first page of this document.

Signature ►
Date / Judge
Certificate of Service
I certify that I filed with the court and served a copy of this Order on Motion to Withdraw or Transfer Funds in a Restricted Accounton the following people.
Person’s Name / Method of Service / Served at this Address / Served on this Date
[ ] Mail
[ ] Hand Delivery
[ ] E-filed
[ ] Email (Person agreed to service by email.)
[ ] Left at business (With person in charge or in receptacle for deliveries.)
[ ] Left at home (With person of suitable age and discretion residing there.)
[ ] Mail
[ ] Hand Delivery
[ ] E-filed
[ ] Email (Person agreed to service by email.)
[ ] Left at business (With person in charge or in receptacle for deliveries.)
[ ] Left at home (With person of suitable age and discretion residing there.)
[ ] Mail
[ ] Hand Delivery
[ ] E-filed
[ ] Email (Person agreed to service by email.)
[ ] Left at business (With person in charge or in receptacle for deliveries.)
[ ] Left at home (With person of suitable age and discretion residing there.)
Signature ►
Date / Printed Name
Order on Motion to Withdraw or Transfer Funds in a Restricted Account / Approved Board of District Court Judges March 14, 2013
Revised April 23, 2018 / Page 1 of 3