Free FL-400 ORDER FOR CHILD SUPPORT SECURITY DEPOSIT AND EVIDENCE OF DEPOSIT - California

COURT
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and address):

COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TELEPHONE NO.: : Index No. : Calendar No.

FL-400
FOR COURT USE ONLY

ATTORNEY FOR (Name):

Plaintiff(s) -against-

: : : :

JUDICIAL SUBPOENA

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT:

Defendant(s) : ......................................................
CASE NUMBER:

ORDER FOR CHILD SUPPORT SECURITY DEPOSIT AND EVIDENCE OF DEPOSIT

THE PEOPLE OF THE STATE OFFOR CHILD SUPPORT SECURITY DEPOSIT NEW YORK ORDER
is ordered to deposit the sum 1. Obligor (name): TO of (specify): $ as security for the payment of child support. The money must be deposited in an interest-bearing account with a state or federally chartered commercial bank, a trust company authorized to transact trust business in California, or a savings and loan association, or in shares of a federally insured credit union doing business in California and having a trust department. The money may be withdrawn only upon order of this court.

GREETINGS:
2. Evidence of the deposit must be filed with this court by the obligor and served upon the person to whom support is to be paid not later than (date): COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before WE

, the Honorable at the Court located at County of Date: in room , on the day of , 20 , at o'clock in the OF THEnoon, and at any recessed JUDICIAL OFFICER SUPERIOR COURT or adjourned date, to testify and give evidence as a witness in this action on the part of the
EVIDENCE OF DEPOSIT
3. in an interest-bearing account as make for liable to The child support obligor has deposited (specify): $ Your failure to comply with this subpoena is punishable as a contempt of court and willsecurityyoupayment ofparty support on (date): this subpoena was issued for a maximum penalty of $50 and all damages sustained as a child on whose behalf the

result of your failure to comply. Witness, Honorable
4.

The deposit account is blocked so the sums may be withdrawn only upon presentation of a certified copy of a court order specifying the amount to be withdrawn and the person to whom the money should be paid.

, one of the Justices of the

The in Court child support obligor has replenished the child support security deposit by depositing (specify): $ County, day of , 20 on (date):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. (Attorney must sign above and type name below) Date:
(TYPE OR PRINT NAME)

Attorney(s) for

(SIGNATURE)

Title: Name of financial institution: Address: Telephone No.: Account No.:

Office and P.O. Address

Telephone No.:
The original signed Evidence of Deposit should be filed with the court and a copy mailed to the person entitled to receive payment. Facsimile No.:
Form Adopted for Mandatory Use Judicial Council of California FL-400 [Rev. January 1, 2003]

E-Mail Address: ORDER FOR CHILD SUPPORT SECURITY DEPOSIT Mobile AND EVIDENCE OF DEPOSIT Tel. No.:

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Family Code, §§ 4560-4562 www.courtinfo.ca.gov

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