ACKNOWLEDGEMENT OF RECEIPT [To be completed by bank or other financial institution and promptly returned to the county clerk at (Address)]: Receipt is acknowledged of a certified or endorsed copy of the Court's order and of the check or draft described therein. We have complied with Paragraph B.(2) of the Court's order and opened a blocked savings account as follows: Name of depositor: Type of account and number: Amount of initial deposit: The undersigned promises and agrees with the above named petitioner as trustee and with the above entitled Court that no withdrawal from said account shall be made without first obtaining an order of this Court authorizing same. I declare under the penalty of perjury under the laws of The State of California that the foregoing is true and correct. Dated: , 20 By (Name of bank, etc) (Signature) (Address) (Type or print name and title) 2001 (C) American LegalNet, Inc.