Receipt And Acknowledgement Of Order
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1MC–356
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
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TELEPHONE NO. (Optional):
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CASE NAME:
CASE NUMBER:
RECEIPT AND ACKNOWLEDGMENT OF ORDER FOR THE DEPOSIT OF
MONEY INTO BLOCKED ACCOUNT
(Attach a copy of the Order to Deposit Money Into Blocked Account to this receipt)
1. I acknowledge receipt of the Order to Deposit Money Into Blocked Account, a copy of which is attached.
2. The account described below in which funds have been deposited under the court's order is a federally insured, blocked account.
3. Name and title on the account:
4. Name of depository:
a. Branch:
b. Address:
5. Account number:
6. Date account opened:
7. Amount of initial deposit: $
8. Present balance: $
I certify that I am authorized to execute this receipt and acknowledgment, and that no withdrawal of principal or interest from this
account will be permitted without a signed court order under this case name and number, bearing the seal of this court.
Date:
(TYPE OR PRINT NAME)
(AUTHORIZED SIGNATURE)
Title:
Page 1 of 1
Code of Civil Procedure, § 372;
Form Adopted for Mandatory Use
RECEIPT AND ACKNOWLEDGMENT OF ORDER FOR THE
Probate Code, § 3600, et seq.,
Judicial Council of California
DEPOSIT OF MONEY INTO BLOCKED ACCOUNT
MC-356 [Rev. January 1, 2007]
Cal. Rules of Court, rules 3.1384, 7.953
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