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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

MC-355

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

ATTORNEY FOR (Name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CASE NAME:

ORDER TO DEPOSIT FUNDS IN BLOCKED ACCOUNT

CASE NUMBER:

1. The petition of ,
acting as of the person named in item 2, to deposit
funds in one or more blocked accounts came on for hearing on .
(date):

(specify representative capacity):

at (time):

in Dept.:

(name):

THE COURT ORDERS

2. Funds that belong to (name):

must be deposited in one or more interest-bearing, federally insured blocked accounts.

3. Each account must be opened in the legal name of the petitioner as parent guardian conservator

of the person named in 2.

other (specify relationship):

4. The total amount authorized for deposit, including any accrued interest, is: $

5. Withdrawals (check a or b):

No withdrawal of principal or interest may be made from the blocked account or accounts without a written order under this
case name and number signed by a judicial officer and file-stamped by this court. The money on deposit is not subject to
escheat.

The funds in the blocked account or accounts belong to a minor, who was born on .

(date):

When the minor reaches 18 years of age, the depository, without further order of this court, is authorized and directed to
pay by check or draft directly to the former minor, on proper demand, all funds, including interest, deposited under this
order. The money on deposit is not subject to escheat.

6. The petitioner and the petitioner's attorney, if any, must (1) deliver a copy of this order to each depository in which funds are

deposited under this order and (2) file with this court an acknowledgment from each depository of receipt of this order and the funds
within 15 days of deposit.

Date:

JUDICIAL OFFICER

Form Adopted for Mandatory Use
Judicial Council of California
MC-355 [Rev. January 1, 2021]

ORDER TO DEPOSIT FUNDS IN BLOCKED ACCOUNT

Page 1 of 1

Code of Civil Procedure, § 372;
Probate Code, §§ 3500, 3600–3613;
Cal. Rules of Court, rules 3.1384, 7.953

Order to Deposit Funds Into Blocked Account

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 1
Fields(s): 34
Average fields per page: 34
Reading Level: Grade 8
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

c_page_stamp_info_bar_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].BarNo_ft[0] (0.51 conf)
c_page_stamp_info_name_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].AttyName_ft[0] (0.37 conf)
c_page_stamp_info_firm_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].AttyFirm_ft[0] (0.38 conf)
c_page_stamp_info_street_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].AttyStreet_ft[0] (0.37 conf)
c_page_stamp_info_city_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].AttyCity_ft[0] (0.34 conf)
c_page_stamp_info_state_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].AttyState_ft[0] (0.37 conf)
c_page_stamp_info_zip_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].AttyZip_ft[0] (0.34 conf)
c_page_stamp_info_phone_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].Phone_ft[0] (0.35 conf)
c_page_stamp_info_fax_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].Fax_ft[0] (0.43 conf)
c_page_stamp_info_email_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].Email_ft[0] (0.40 conf)
c_page_stamp_atty_info_ft was MC-355[0].Page1[0].Stamp[0].AttyInfo[0].AttyFor_ft[0] (0.35 conf)
c_page_court_info_county_ft was MC-355[0].Page1[0].CourtInfo[0].CrtCounty_ft[0] (0.34 conf)
c_page_court_info_street_ft was MC-355[0].Page1[0].CourtInfo[0].Street_ft[0] (0.39 conf)
c_page_court_info_add_ft was MC-355[0].Page1[0].CourtInfo[0].MailingAdd_ft[0] (0.39 conf)
c_page_court_info_city_zip_ft was MC-355[0].Page1[0].CourtInfo[0].CityZip_ft[0] (0.36 conf)
c_page_court_info_branch_ft was MC-355[0].Page1[0].CourtInfo[0].Branch_ft[0] (0.35 conf)
c_page_title_party_name_ft was MC-355[0].Page1[0].TitlePartyName[0].Party1_ft[0] (0.35 conf)
c_page_case_number_ft was MC-355[0].Page1[0].CaseNumber[0].CaseNumber_ft[0] (0.34 conf)
c_page_list_l_fill_text__1 was MC-355[0].Page1[0].List1[0].LI1[0].FillText5[0] (0.39 conf)
c_page_list_l_fill_text__2 was MC-355[0].Page1[0].List1[0].LI1[0].FillText6[0] (0.39 conf)
c_page_list_l_fill_text__3 was MC-355[0].Page1[0].List1[0].LI1[0].FillText7[0] (0.39 conf)
c_page_list_l_fill_text__4 was MC-355[0].Page1[0].List1[0].LI1[0].FillText14[0] (0.39 conf)
c_page_list_l_fill_text__5 was MC-355[0].Page1[0].List1[0].LI1[0].FillText8[0] (0.39 conf)
c_page_list_l_fill_text__6 was MC-355[0].Page1[0].List2[0].LI1[0].FillText9[0] (0.39 conf)
c_page_list_l_check_b__1 was MC-355[0].Page1[0].List3[0].LI1[0].CheckB1[0] (0.34 conf)
c_page_list_l_check_b__2 was MC-355[0].Page1[0].List3[0].LI1[0].CheckB1[1] (0.34 conf)
c_page_list_l_check_b__3 was MC-355[0].Page1[0].List3[0].LI1[0].CheckB1[2] (0.34 conf)
c_page_list_l_check_b__4 was MC-355[0].Page1[0].List3[0].LI1[0].CheckB1[3] (0.34 conf)
c_page_list_l_text_field was MC-355[0].Page1[0].List3[0].LI1[0].TextField2[0] (0.36 conf)
c_page_list_l_fill_text__7 was MC-355[0].Page1[0].List4[0].LI1[0].FillText1[0] (0.39 conf)
c_page_list_l_check_box__1 was MC-355[0].Page1[0].List5[0].LI1[0].CheckBox2[0] (0.34 conf)
c_page_list_l_check_box__2 was MC-355[0].Page1[0].List5[0].LI2[0].CheckBox2[0] (0.34 conf)
c_page_list_l_fill_text__8 was MC-355[0].Page1[0].List5[0].LI2[0].FillText18[0] (0.39 conf)
c_page_sign_sub_text was MC-355[0].Page1[0].SignSub[0].Text1[0] (0.37 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Order to Deposit Funds Into Blocked Account

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02