Fill and Sign the Receipt Acknowledgment Form

––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– MC- 356 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY TELEPHONE NO. 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: RECEIPT AND ACKNOWLEDGMENT OF ORDER FOR THE DEPOSIT OF MONEY INTO BLOCKED ACCOUNT CASE NUMBER (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. Dat e: (TYPE OR PRINT NAME) (AUTHORIZED SIGNATURE) Titl e: Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California MC-356 [Rev. January 1, 2007] RECEIPT AND ACKNOWLEDGMENT OF ORDER FOR THE DEPOSIT OF MONEY INTO BLOCKED ACCOUNT Code of Civil Procedure, § 372 Probate Code, § 3600 at seq. ,Cal. Rules of Court, rules 3.1384, 7.95.3electronic form ã 2001-7 WWW.LawCA.com Law Publishers