Minor Children Revenue Distribution Download Form Application for withdrawal of 50% funds Parent or Legal Guardian* First Middle Last Full legal nameEmail Last 4 SSN* Minor Child Name* First Middle Last Full legal nameAge*Please enter a number less than or equal to 18.Date of Birth* Month Day Year Select Quarter March June September December Amount Requested*Only 50% of funds may be requested.According to the Gaming Revenue Act adopted by the Tonkawa Tribal Committee Resolution No. T-R-12-08 all children's funds MUST be spent on health, safety, education, and welfare needs of each child. Receipts are required by law for accountability and MUST be provided to this office within 30 days of receipt of funds. Parents/Guardians are only allowed to withdraw 2 per caps - the coming per cap and one previous. Failure to comply will cause DENIAL of any future withdrawals. I, the undersigned parent or legal guardian of the above named children, understand full the terms of this application and accept all responsibility for failure to comply.Signature*Date* Month Day Year PhoneThis field is for validation purposes and should be left unchanged.
