Form 15-UVS "Verification of Stocks and Other Securities by Broker / Financial Advisor / Financial Institution" - Minnesota

What Is Form 15-UVS?

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

Form Details:

  • Released on September 1, 2009;
  • The latest edition provided by the Minnesota District Courts;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 15-UVS by clicking the link below or browse more documents and templates provided by the Minnesota District Courts.

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Download Form 15-UVS "Verification of Stocks and Other Securities by Broker / Financial Advisor / Financial Institution" - Minnesota

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State of Minnesota
District Court
________________ Judicial District
County of ______________________
Probate / Mental Health Division
Court File No. __________________________
Case Type: 14, Conservatorship
Verification of Stocks and Other Securities
In Re: Conservatorship of
By Broker / Financial Advisor /
Financial Institution
____________________________,
(
)
Protected Person
File as a Financial Source Document with Form 11.2
To: Name and Address of Broker / Financial Advisor / Financial Institution:
_______________________________________________
_______________________________________________
_______________________________________________
I am the court appointed conservator in this matter and you and/or your financial institution has stocks
and other securities for the above named protected person. Please provide me with verification of the
assets listed below as of the following date:
by completing and
signing the bottom portion of this form and affixing your official seal.
Dated:
Signature of Conservator
Conservator’s name and address:
Verification of Funds on Deposit by Financial Institution
I certify that the foregoing stocks and other securities were on deposit as shown by the records of this
financial institution listed below. The stocks and other securities listed below were accurate as of this
date:
Account Information:
Number of
Name of Stock or Account Title
Units/Shares
Note: Attach a separate sheet if more space is needed to list account information / remarks.
By:
SIGNATURE OF CERTIFYING
DATE
BROKER / FINANCIAL ADVISOR /
FINANCIAL INSTITUTION OFFICIAL
TITLE OF CERTIFYING OFFICIAL
(Please affix official seal on this form)
15-UVS
State
ENG
Rev 9/09
www.mncourts.gov/forms
Page 1 of 1
State of Minnesota
District Court
________________ Judicial District
County of ______________________
Probate / Mental Health Division
Court File No. __________________________
Case Type: 14, Conservatorship
Verification of Stocks and Other Securities
In Re: Conservatorship of
By Broker / Financial Advisor /
Financial Institution
____________________________,
(
)
Protected Person
File as a Financial Source Document with Form 11.2
To: Name and Address of Broker / Financial Advisor / Financial Institution:
_______________________________________________
_______________________________________________
_______________________________________________
I am the court appointed conservator in this matter and you and/or your financial institution has stocks
and other securities for the above named protected person. Please provide me with verification of the
assets listed below as of the following date:
by completing and
signing the bottom portion of this form and affixing your official seal.
Dated:
Signature of Conservator
Conservator’s name and address:
Verification of Funds on Deposit by Financial Institution
I certify that the foregoing stocks and other securities were on deposit as shown by the records of this
financial institution listed below. The stocks and other securities listed below were accurate as of this
date:
Account Information:
Number of
Name of Stock or Account Title
Units/Shares
Note: Attach a separate sheet if more space is needed to list account information / remarks.
By:
SIGNATURE OF CERTIFYING
DATE
BROKER / FINANCIAL ADVISOR /
FINANCIAL INSTITUTION OFFICIAL
TITLE OF CERTIFYING OFFICIAL
(Please affix official seal on this form)
15-UVS
State
ENG
Rev 9/09
www.mncourts.gov/forms
Page 1 of 1