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Click ‘Get Form’ to open the blocked account document in the editor.
Begin by entering the amount of funds deposited in the designated field labeled '$_____'.
Indicate who is making the deposit by selecting the appropriate option: [ ] Guardian, [ ] Guardian ad Litem, or [ ] Attorney for (name of Incapacitated Person). Fill in the name of the incapacitated person in the provided space.
Input the last four digits of the account number where funds are deposited in 'Account No. (last four digits) ________.'
Ensure that all required signatures and printed names are filled out at the bottom of the form, including your title and contact information for verification.
Review all entries for accuracy before saving or exporting your completed form.

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