Superior Court of California, County of Alameda ___________________________________ Case No. ___________________ Plaintiff Receipt No. _______________________ vs Date of deposit: ___________________ ___________________________________________________ Dept. No. ________________________ Defendant DECLARATION AND ORDER FOR PAYMENT OF MONEY (INTEREST BEARING COURT DEPOSITS) I ______________________________________________________________________________________ declare as follows: 1. This Declaration and Order for Payment is presented pursuant to and in conformity with the Rules of the Superior Court of California, County of Alameda. 2. That I am appearing in the abovecaptioned action on behalf of _______________________________________________ in the capacity of _________________________________________________________________________________________ . 3. That all monies provided for in the matter on file herein have been deposited with the Clerk of the Superior Court and credited and posted in the above captioned action. 4. That the party of whose benefit this order is being presented is entitled to withdraw the sum of in accordance with the judgment on file herein or for the following reason: Payee: ___________________________________________ Tax Id Number: _______________________________________ (Tax ID No. to be redacted on public record) Address: ______________________________________________________________________________________________ ______________________________________________________________________________________________________ I declare under penalty of perjury under the law of the State of California that the forgoing is true and correct. Executed at: _______________________________________, California, on ________________________________________ _______________________________________________________ Declarant Verification by clerk: On __________________Finance Bureau verified that $____________________________________is presently on deposit in the abovecaptioned matter. ORDER FOR PAYMENT OF MONEY The request for order for payment of money in the sum of $ ________________________ is Granted; Denied Dated: ________________________ ______________________________________________ Judge of the Superior Court American LegalNet, Inc. www.FormsWorkFlow.com