Receipt Of Protectee {10332}

IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI - PROBATE DIVISION AT IN THE ESTATE OF ESTATE NUMBER , Protectee. RECEIPT OF PROTECTEE (Sec. 475.315, RSMo) Received of the following personal property:$ , and (Describe the personal property in detail) in full satisfaction of balance due on final settlement of my estate in said court, as per order of said court dated: . Name Page 1 of 2 <<<<<<<<<********>>>>>>>>>>>>> 2State of ss. County of On , before the undersig ned, personally appeared , to me known to be the person described in and who ex ecuted the receipt ofprotectee on the reverse side hereof who acknowledged that (he) (she) executed the same as (his) (her) free act and deed. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal the day and date aforesaid. Notary Public Clerk By Deputy ClerkMy commission expires: Form 10332 Page 2 of 2 7/31/96