(Insert the address of the division where the magistrate judge who will be reviewing the application is located.)(Name and Address)FOR COURT USE ONLY(Name):(name):(name):Claim and delivery only(specify)(name):(name): United States District Court, Central District of California American LegalNet, Inc. www.FormsWorkFlow.com [To be completed when undertaking exceeds $5,000.][To be completed when undertaking exceeds $5,000.](describe property and nature of declarant's interest and specify best estimate of fair market value of each item of property)(describe property and nature of declarant's interest and specify best estimate of fair market value of each item of property)(specify) (SIGNATURE OF SURETY)(SIGNATURE OF SURETY)(TYPE OR PRINT NAME) (Attachment only) (SIGNATURE OF JUDGE OR MAGISTRATE JUDGE) (specify):(TYPE OR PRINT NAME) American LegalNet, Inc. www.FormsWorkFlow.com