ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address and Telephone No.): FOR COURT USE ONLY ATTORNEY FOR (Name): ATTORNEY BAR # SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Street Address: 341 The City Drive Mailing Address: Post Office Box 14171 City and Zip Code: Orange, CA 92863-1571 IN THE MATTER OF FUNDS BELONGING TO: 9 A Minor 9 Conservatee 9 Deceased CASE NUMBER: ORDER FOR WITHDRAWAL OF FUNDS The verified Petition for Authority to Withdraw Funds Deposited Pursuant to Court Order by __________________________ ______________________________ , the petitioner, having been considered this date, THE COURT FINDS G that good cause exists to allow the withdrawal of $________________ for the following purpose: ______________________________________________________________________________________________ _______________________________________________________________________________________________ G that________________________________ , the former minor, was born on __________________________________ and has now reached or passed the age of majority. THEREFORE, IT IS ORDERED, ADJUDGED AND DECREED: 1. The sum of ___________________________dollars ($_________________) may be withdrawn from the blocked account in the name of ____________________________________________ , such being Account No. __________, located at ______________________________________________________________________________________. 2. 3. The funds withdrawn shall be used for the purpose stated above. The above-named depository is directed and authorized on the presentation of a certified copy of this order bearing the impression seal of this court, together with any required check, receipt and/or passbook to permit the withdrawal, check(s) or draft(s) made payable as follows: ______________________________________________________________________________________________ ______________________________________________________________________________________________ 4. The above-named depository is directed to retain the certified copy of this order. _________________________________________________________ JUDGE/COMMISSIONER OF THE SUPERIOR COURT Dated:_____________________ (SEAL) CLERK'S CERTIFICATION I certify that the foregoing is a true and correct copy of the original on file in my office. G Certified Copy Provided ALAN SLATER, Executive Officer and Clerk Dated:_______________ By_______________________________________ , Deputy 153 (R1/99) ORDER FOR WITHDRAWAL OF FUNDS 2000 © American LegalNet, Inc.