STATE OF NORTH CAROLINA COUNTY OF MECKLENBURG ________________________, Plaintiff, IN THE GENERAL COURT OF JUSTICE SUPERIOR COURT DIVISION ____ CVS ____ Judgment Docket ________, Page _____ ORDER TO TURN OVER FUNDS vs. as to _________________________ ________________________, Defendant(s). THIS MATTER came on for hearing before the undersigned Superior Court Judge presiding in Mecklenburg County on the Motion of the Plaintiff for an Order, pursuant to N.C.G.S. § 1359, 1-360 and 1-362, compelling ______________________________________________ to turn over funds in its possession that belong to the Judgment Debtor and affording a nondebtor joint account owner the opportunity to establish the respective ownership interests in a joint account in which the Judgment Debtor owns an interest. AND IT APPEARING TO THE COURT that that name of ________________________ _______________ account is the joint account of _______________________________ and ___________________________________ , that the amount of their respective contributions to this account is not known, and, pursuant to N.C.G.S. § 41.2(2), this account is deemed owned by the depositors equally. The non-debtor account owner was afforded the opportunity to present evidence as to the respective ownership interests in this account, and the presumption that the account is owned equally by the depositors was not rebutted. IT IS, THEREFORE, ORDERED that _______________________________________ turn over funds in the amount of $_____________, and that said funds shall be made payable to the Mecklenburg County Clerk of Superior Court, along with a copy of this Order, for application to the Judgment in this matter. This the _____ day of ______________________, 200__. ________________________________ Superior Court Judge Presiding Mecklenburg County, North Carolina CCF-78 American LegalNet, Inc. www.FormsWorkflow.com