(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 attorney or pro se party. 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., interpleader funds deposit, cash bond in lieu
of corporate surety in support of temporary restraining order, etc.);
(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 this 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.