Free Pleading Paper - Nevada

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UNITED STATES DISTRICT COURT DISTRICT OF NEVADA ) ) ) ) ) ) ) ) ) )

CV

CERTIFICATE OF CASH DEPOSIT , herewith tender to the Clerk
(Name of Depositor)

of Court for deposit into the Registry Account of this Court cash in the amount of $ 2. . This Cash Deposit: A. Is tendered on behalf of:
(Name of Party)

;

B. Is in the nature of the following (e.g., Interpleader Deposit, Bond in Support of Temporary Restraining Order, etc.) :

C. Is tendered pursuant to the following Statute, Rule or Court Order:

D. Is conditioned as follows:

1

11/99

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...

3.

The name and address of the Legal Owner of the cash tendered

herewith to whom a refund (if applicable) shall be made is:

State of Nevada County of

) ) ss. )

Dated: Signature of Depositor

, 20 , On personally appeared before me, a Notary Public,

(Name of Depositor) who acknowledged that (s)he executed the above instrument.

NOTARY PUBLIC

Dated: Signature of Attorney for Party or Party Appearing Pro Se (If different from Depositor)

RECEIPT: Cash as identified herein is hereby acknowledged as being received this date. Dated: CLERK, U.S. DISTRICT COURT By: 2

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Deputy Clerk

3