Form PG-662 "Petition to Receive Funds on Behalf of a Minor (As 13.26.440)" - Alaska

What Is Form PG-662?

This is a legal form that was released by the Alaska Superior Court - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2018;
  • The latest edition provided by the Alaska Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form PG-662 by clicking the link below or browse more documents and templates provided by the Alaska Superior Court.

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Download Form PG-662 "Petition to Receive Funds on Behalf of a Minor (As 13.26.440)" - Alaska

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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the Matter of the Protective Proceeding of
)
)
)
)
)
CASE NO.
Minor
)
Date of Birth:
)
PETITION TO RECEIVE FUNDS
ON BEHALF OF A MINOR
(AS 13.26.440)
Petitioner asks the court to authorize
to receive the funds
described below on behalf of the minor named above and to
manage the funds as custodian under the Alaska Uniform Transfers to Minors Act
(AS 13.46.010 - .999) until the minor reaches age 18.
deposit the funds in the following trust:
deposit or use the funds as follows:
1.
Petitioner's Full Name
Age
Petitioner's Mailing Address
(box or street number)
(city)
(state)
(ZIP)
Petitioner's Daytime Phone
Relationship to Minor
2.
Nominated Guardian (if not Petitioner)
Age
Mailing Address
(box or street number)
(city)
(state)
(ZIP)
Daytime Phone
Relationship to Minor
3.
Minor's Full Name
Age
Minor’s Physical Address
(box or street number)
(city)
(state)
(ZIP)
Minor's Daytime Phone
4.
Description of Funds.
The funds are the proceeds of a life insurance policy on the life of
(name)
who died on (date)
.
The deceased person was the minor’s (describe relationship)
Name of Insurance Company:
Address of Insurance Company:
Policy No.
Amount Owed to Minor:
Page 1 of 3
PG-662 (6/18)(cs)
AS 13.26.147(b)
PETITION TO RECEIVE FUNDS ON BEHALF OF A MINOR
AS 13.26.401 - .440
IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the Matter of the Protective Proceeding of
)
)
)
)
)
CASE NO.
Minor
)
Date of Birth:
)
PETITION TO RECEIVE FUNDS
ON BEHALF OF A MINOR
(AS 13.26.440)
Petitioner asks the court to authorize
to receive the funds
described below on behalf of the minor named above and to
manage the funds as custodian under the Alaska Uniform Transfers to Minors Act
(AS 13.46.010 - .999) until the minor reaches age 18.
deposit the funds in the following trust:
deposit or use the funds as follows:
1.
Petitioner's Full Name
Age
Petitioner's Mailing Address
(box or street number)
(city)
(state)
(ZIP)
Petitioner's Daytime Phone
Relationship to Minor
2.
Nominated Guardian (if not Petitioner)
Age
Mailing Address
(box or street number)
(city)
(state)
(ZIP)
Daytime Phone
Relationship to Minor
3.
Minor's Full Name
Age
Minor’s Physical Address
(box or street number)
(city)
(state)
(ZIP)
Minor's Daytime Phone
4.
Description of Funds.
The funds are the proceeds of a life insurance policy on the life of
(name)
who died on (date)
.
The deceased person was the minor’s (describe relationship)
Name of Insurance Company:
Address of Insurance Company:
Policy No.
Amount Owed to Minor:
Page 1 of 3
PG-662 (6/18)(cs)
AS 13.26.147(b)
PETITION TO RECEIVE FUNDS ON BEHALF OF A MINOR
AS 13.26.401 - .440
I received a letter dated
from the insurance company stating
that the company cannot pay the minor’s money to me unless I am the minor’s legal
guardian. I am attaching a copy of this letter.
Other funds (provide as much detail on the type of funds and explain why you need
authorization to receive funds):
5.
The minor’s mother is
living.
deceased.
Mother’s full name
Mother's Mailing Address
(box or street number)
(city)
(state)
(ZIP)
Mother's Daytime Phone
6.
The minor’s father is
living.
deceased.
Father’s full name
Father's Mailing Address
(box or street number)
(city)
(state)
(ZIP)
Father’s Daytime Phone
7.
Name of person who has physical custody of the minor
Mailing Address
(box or street number)
(city)
(state)
(ZIP)
Daytime Phone
8.
The minor
is
is not
married.
9.
Has a guardian or conservator been appointed for the minor by any court?
No.
Yes. If yes, explain (include court location and case number, if known):
Name and address of guardian/conservator:
10.
Are there any other proceedings for the appointment of a guardian or conservator
pending in any court?
No.
Yes. If yes, explain (include court location and case
number, if known):
11.
Are there any other court proceedings involving this minor?
No.
Yes. If yes,
explain (include court location and case number, if known):
Page 2 of 3
PG-662 (6/18)(cs)
AS 13.26.147(b)
PETITION TO RECEIVE FUNDS ON BEHALF OF A MINOR
AS 13.26.401 - .440
12.
If authorized to become the custodian of this money under the Alaska Uniform Transfers
to Minors Act (UTMA), the custodian must manage the money for the benefit of the
minor in accordance with the UTMA. Petitioner understands that, among other things,
the UTMA requires the custodian to:
a.
keep these funds separate from the custodian’s funds and anyone else’s funds at
1
all times,
2
b.
keep records of all transactions concerning these funds,
c.
manage and invest the funds and the funds’ earnings to benefit the minor, and
in dealing with the funds, observe the standard of care that would be observed
3
by a prudent person dealing with property of another,
d.
when depositing the funds at financial institutions (banks, stock brokers, etc.),
name the accounts as follows: “
(Custodian’s Name)
as custodian for
4
(Minor’s Name)
under the Alaska Uniform Transfers to Minors Act,”
and
5
e.
transfer the funds to the minor when the minor reaches age 18.
The UTMA allows the custodian to pay to the minor or spend for the minor’s benefit as
much of these funds as the custodian considers advisable for the use and benefit of the
6
minor.
Date
Signature of Petitioner or Petitioner’s Attorney
If attorney, print name and bar number:
Verification
I state on oath or affirm that I have read this petition and that all statements made in it are
true to the best of my knowledge and belief.
Date
Petitioner's Signature
Subscribed and sworn to or affirmed before me at
, Alaska
on
.
Date
(SEAL)
Clerk of Court, Notary Public, or other person
authorized to administer oaths.
My commission expires:
1
AS 13.46.110(d)
2
AS 13.46.110(e)
3
AS 13.46.110
4
AS 13.46.080(a)(2)
5
AS 13.46.190(2)
6
AS 13.46.130(a)
Page 3 of 3
PG-662 (6/18)(cs)
AS 13.26.147(b)
PETITION TO RECEIVE FUNDS ON BEHALF OF A MINOR
AS 13.26.401 - .440
Page of 3