IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA ) ) ) ) ) ) ) ) ) Civil Action No. ORDER OF COURT AND NOW, this day of ___ _____ 20 , pursuant to Rule 67 of the Federal Rules of Civil Procedure and Local Rule 67.2 of this Court, IT IS ORDERED that the in the above captioned matter is permitted to deposit money with the Clerk of Court. IT IS FURTHER ORDERED that the Clerk deposit into the Registry of the Court the amount of which represents _____________________. As soon as the business of the office allows, the Clerk will deposit the money into an interest bearing account, the Court Registry Investment System (CRIS), the Disputed Ownership Fund (DOF) under 28 U.S.C. 1335, administered by the Administrative Office of the United States Courts under 28 U.S.C. 2045, this shall be the only investment mechanism authorized. The custodian, CRIS, is authorized and directed by this Order to deduct the DOF fee for the management of investments and tax administration of the DOF, set by the Judicial Conference, for maintaining accounts deposited with the Court. United States District Judge Comes now the pursuant to Rule 67 of the Federal Rules of Civil Procedure and moves the Court for an order authorizing the investment of Registry Funds in the manner set forth herein. Signature Date American LegalNet, Inc. www.FormsWorkFlow.com