UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA UNITED STATES OF AMERICA v. PLAINTIFF CASE NUMBER AFFIDAVIT RE APPEARANCE BOND (CASH SECURITY) DEFENDANT(S) AFFIDAVIT BY OWNER OF CASH SECURITY I, , on oath say that I reside at and that the $ cash deposited as security on foregoing bond is owned by me and is to be returned to me at the above address upon exoneration of this bond. I hereby subject said fund to the provisions of Local Civil Rule 65 and consent and agree that in case of default or contumacy on the part of the principal, the Court may, upon notice to me of not less than ten days, proceed summarily and render judgment against said cash security in accordance with my obligation herein and award execution thereon. Sworn to before me, and subscribed in my presence on , Deputy Clerk. , by Signature of Owner of Cash Security Social Security Number of Owner of Cash Security AFFIDAVIT BY ATTORNEY OR AUTHORIZED AGENT OF THE OWNER OF CASH SECURITY I, owner of the $ , on oath say that I am the attorney or authorized agent of the cash deposited as security on the foregoing bond; that the owner of said cash is and his/her address is and that said cash is to be returned to said owner at the above address upon exoneration of this bond. On behalf of said owner, I hereby subject said fund to the provisions of Local Civil Rule 65 and consent and agree that in case of default or contumacy on the part of the principal, the Court may, upon notice to said owner of not less than ten days, proceed summarily and render judgment against said cash security in accordance with my obligation herein and award execution thereon. Sworn to before me, and subscribed in my presence on , by , Deputy Clerk. Signature of Attorney or Authorized Agent CR-07 (10/16) Social Security Number of Owner of Cash Security AFFIDAVIT RE APPEARANCE BOND (CASH SECURITY) American LegalNet, Inc. www.FormsWorkFlow.com