ACCOUNT; CERTIFICATE OF CASH DEPOSIT
(a) Cash tendered to the clerk for deposit into the court’s Registry Account must be
accompanied by a written statement titled “Certificate of Cash Deposit,” which
must be signed by the depositor. The certificate must contain the following
information:
(1) The amount of cash tendered for deposit;
(2) The party on whose behalf the tender is being made;
(3) The nature of the tender (e.g., cash bond in support of appearance bond
and order setting conditions of release);
(4) The court order permitting the deposit;
(5) The conditions of the deposit signed and acknowledged by the depositor;
(6) The name and address of the legal owner to whom a refund, if applicable,
should be made; and
(7) A signature block on which the clerk can acknowledge receipt of the cash
tendered. The signature block must not be on a separate page, but must
appear approximately one inch below the last typewritten line on the left-
hand side of the last page of the certificate and must read as follows:
RECEIPT
Cash as identified herein is hereby acknowledged as being received the
date.
Dated: ____________________________
CLERK, U.S. DISTRICT COURT
By:
_____________________________
Deputy Clerk
(b) The depositing party must attach a copy of the order permitting the deposit.
(c) The clerk may refuse cash tendered without the Certificate of Cash Deposit
required by this rule.