Telephone No.: ATTORNEY FOR (Name): Fax No. (Optional): Bar No.: ATTORNEY OR PARTY WITHOUT (Name, State Bar Number, and address): COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME PLAINTIFF(S)/PETITIONER(S): CLERK'S USE ONLY DEFENDANT(S)/RESPONDENT(S): CASE NUMBER: APPLICATION FOR ISSUANCE OF WRIT OF EXECUTION PURSUANT TO CCP 712.010 I am the Plaintiff/Attorney in the above-entitled action. Pursuant to CCP 712.010, judgment in the above-captioned case was entered regarding the premises located at , California, and I hereby request that a Writ of Execution be issued for possession of the premises only. The daily rental value of the property as of the date the complaint was filed is $ . I certify under penalty of perjury, that the foregoing is true and correct. Executed on at , California. Signature Print Name APPLICATION FOR ISSUANCE OF WRIT OF EXECUTION PER CCP 712.010 SB-03W, Rev. 04-2014 American LegalNet, Inc. www.FormsWorkFlow.com