SUPERIOR COURT OF CALIFORNIA
COUNTY OF SANTA CLARA
PLAINTIFF:
DEFENDANT:
FOR COURT USE ONLY
ORDER FOR PAYMENT FROM COURT DEPOSIT
CASE NUMBER:
It appearing that there is on deposit with the Superior Court, County of Santa Clara, State of California, the
sum of DOLLARS:
($ )
deposited by
as and for
And it further appearing
NOW, THEREFORE, it is ordered that the Finance Division, of the Superior Court, County of Santa Clara,
draw his warrant for the sum of
Dollars, in favor of
With mailing address at
and that the Superior Court of said County of
Santa Clara pay said warrant with money heretofore deposited by said
Dated this
day of , 20
Finance Division ONLY:
Entered in SAP by: Date
Document Number: Date
Reviewed by: Date
Released by: Date JUDICIAL OFFICER OF THE SUPERIOR COURT
FN-022 REV 6/07
ORDER FOR PAYMENT FROM COURT DEPOSIT Page 1 of 1
To keep other people
from seeing what you
have entered, please
press the Reset Form
button at the end of this
form when finished.
Please attach to this form with the Payee Data Record, (FN-030) and submit both together.
