LEVY/GARNISHMENT INSTRUCTION SHEET PLEASE PRINT Case Number_____________________________________Today’s Date_______________________________________ YOU ARE HEREBY INSTRUCTED TO: (Check Appropriate Column) LEVY ON BANK ACCOUNT OF JUDGMENT DEBTOR _____ ENFORCE WRIT OF POSSESSION FOR EVICTION _____ PLACE KEEPER IN JUDGMENT DEBTOR’S BUSINESS (Indicate 8 hours or open end) _______________________ _____ TILL TAP _____ VEHICLE LEVY _____ SEIZE, MOVE, STORE, AND SELL DEBTOR’S PROPERTY _____ PLACE KEEPER FIRST THEN SEIZE, STORE, AND SELL DEBTOR’S PROPERTY (Per state law, moving companies are only liable for $.60 per pound if property is lost, stolen or damaged. I decline additional insurance ___________. I wish to purchase additional insurance at a maximum rate of $13 per $1,000 of insured property. Amount to insure $______________. Total $_____________. To be included in your deposit. _____ OTHER ENTER COMPLETE INSTRUCTIONS BELOW: (Name and address of bank; address for eviction; Judgment Debtor’s place of business; license number and address where vehicle is located-whichever applies per box(es) marked above.) FOR WRITS OF POSSESSION ONLY IMPORTANT! DEPUTY MUST HAVE ACCESS TO PROPERTY Name of person who will sign for possession___________________________________ Daytime phone___________________ Security Gate Code Number________________ NOTE: You or your authorized agent must be able to meet the deputy on the date of the eviction! BANK LEVIES ONLY: Account No. (If known):_____________________________________ ACCEPTING AMOUNT: To instruct us to accept LESS THAN the amount shown on the writ, plus interest and costs, indicate lesser amount here: $__________________________________________ X__________________________________ ______ ( Signature of Attorney / Litigant ) ____________________________________ Daytime Phone Number ALL COMMUNICATION, REFUNDS DUE AND COLLECTIONS WILL BE DIRECTED TO THE NAME AND ADDRESS LISTED BELOW: (Complete Carefully) __________________________________________ __________________________________________ NOTE: PLEASE DO NOT PHONE THE OFFICE FOR A STATUS ON YOUR CASE. WE WILL NOTIFY YOU BY MAIL ON THE OUTCOME OF THE SERVICE. __________________________________________ F0328-111.3 (R02/07) OCSD3 (Rev. 4/2011) American LegalNet, Inc. www.FormsWorkFlow.com