mc356_001

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MC–356 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY To keep other people from seeing what you entered on your form, please press the Clear This Form button at the end of the form when finished. TELEPHONE NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BRANCH NAME: : : Index No. Calendar No. CASE NAME: CASE NUMBER: RECEIPT AND ACKNOWLEDGMENT OF ORDER FOR THE DEPOSIT :OF JUDICIAL SUBPOENA Plaintiff(s) MONEY INTO BLOCKED ACCOUNT -against: (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.Defendant(s) . . . . . .the court's order is a federally insured, blocked account. deposited under . ...... ..... .. .... ..... .... .... .......... 3. Name and title on the account: THE PEOPLE OF THE STATE OF NEW YORK 4. Name of depository: TO a. Branch: b. Address: GREETINGS: 5. Account number: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed 6. Date account opened: or adjourned date, to testify and give evidence as a witness in this action on the part of the 7. Amount of initial deposit: $ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. 8. Present balance: $ Witness, Honorable , one of the Justices of the Court in County, day of , 20 I certify that I am authorized to execute this receipt and acknowledgment, and that no withdrawal of principal or interest from this (Attorney must sign account will be permitted without a signed court order under this case name and number, above and type name below) bearing the seal of this court. Date: Attorney(s) for (TYPE OR PRINT NAME) (AUTHORIZED SIGNATURE) Office and P.O. Address Title: Telephone No.: Facsimile No.: E-Mail ORDER RECEIPT AND ACKNOWLEDGMENT OF Address: FOR THE Mobile Tel. No.: DEPOSIT OF MONEY INTO BLOCKED ACCOUNT For your protection and privacy, please press the Clear This Form button after you have printed the form. Page 1 of 1 Code of Civil Procedure, § 372; Probate Code, § 3600, et seq., Cal. Rules of Court, rules 3.1384, 7.953 www.courtinfo.ca.gov Form Adopted for Mandatory Use Judicial Council of California MC-356 [Rev. January 1, 2007] American LegalNet, Inc. www.FormsWorkflow.com Print This Form Clear This Form

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