PA · rules

Dauphin Cnty. C.P. Rule 2039B - Form

Dauphin County local rules: Rule 2039B - Form

activein force · 2026-09-30 – presentact-effective-date

Rule 2039B FORM

_______, Parent and Natural Guardian of: In the Court of Common Pleas

__________, a minor, : Dauphin County, Pennsylvania

Plaintiff:

v. : No:

_________________, :

Defendant:

AFFIDAVIT OF DEPOSIT OF MINOR’S FUNDS

The undersigned, counsel for ___________, parents and natural guardians of

_____________, a minor, hereby certifies that the net settlement amount of $_______

as set forth in this Court’s order dated _______ was deposited by _________ into a

restricted, federally insured account, marked “No withdrawals prior to age 18 without

prior court approval” on _______. Account No. _________ is entitled: __________, a

minor. Proof of deposit is attached hereto as Exhibit A.

_____________________________________

Counsel for Parents and Natural Guardians of

___________, a minor

Provenance

Source: www.dauphincounty.gov
Retrieved: 2026-09-30
Edition: 2026-09-30
Content hash: 8eb5246a6cbf105138a96de273b407faeee62c3a42df59726d8a3137394779e4

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