Simply replace the unfilled areas such as "__" and "_[date]_" with your information.
Dear _[name of clerk]_,
Attached please find _[number of copies]_ copies of _[name of legal pleading]_ which we would like to file on record for case number _[docket number]_, _[name of case]_.
We have also included a check in the amount of _[amount of check]_ to cover filing fees and service cost related to this pleading.
Please file this pleading into the record and process it accordingly. Please provide us with a certified copy via United States Postal Mail. The fee enclosed is sufficient to cover copying and certification fees.
Thank you for your attention to this matter.