SHERIFF'S INSTRUCTIONS BANK GARNISHMENT (WRIT OF EXECUTION) ATTORNEY OR PARTY WITHOUT ATTORNEY NAME: STREET ADDRESS: CITY, STATE AND ZIP: TELEPHONE: COURT COURT NAME: ADDRESS: PLAINTIFF: DEFENDANT: CASE NO: Leroy D. Baca, Sheriff SHERIFF'S BRANCH OFFICE BRANCH NAME: ADDRESS: TELEPHONE: LEVYING OFFICER NO: To the Los Angeles County Sheriff, you are instructed to: Levy on any and all deposit accounts standing in the name(s) of the below judgment debtor(s) and third party(ies) at the specified financial institution pursuant to the attached writ of execution. An affidavit of identity, spousal affidavit, unexpired certified copy of a fictitious business name statement, and/or a court order to levy on a third party's account is/are also attached as described below. Name(s) at which account(s) stand at Financial Institution: DEBTOR NAME(S): THIRD PARTY NAME(S): FINANCIAL INSTITUTION NAME: STREET ADDRESS: CITY: ZIP CODE: Name and address of the person(s) listed in attached affidavit of identity, spousal affidavit, fictitious business name statement. court order for levy on third party's account: Amount to satisfy the judgement: Unless a smaller amount is entered below, collect the amounts in boxes 18 and 19 of the writ of execution plus Sheriff's costs. Accept $ with interest (box 19) without interest Payments/Refunds: Make all payments and refunds to the following (if different from the party at the top of this form): PAYEE NAME: ADDRESS: TELEPHONE: All instructions must be submitted by the above attorney or party (if no attorney.) All correspondence will be sent to said party. DATE: BY: (SIGNATURE OF ABOVE ATTORNEY OR PARTY WITHOUT ATTORNEY) American LegalNet, Inc. www.USCourtForms.com