NOTICE OF LEVY BY A COURT WRIT ­ GOVERNMENT BANK SWEEP To: Case No. See Attached Writ You are notified that all money subject to execution in your possession or under your control belonging to: any debtors listed on the attached writ of execution up to the Total Balance Due listed in the spreadsheet attached to the writ is hereby levied upon. Do not release said money to anyone other than me. You must complete the Response to Levy below and return it to me within 24 hours pursuant to AS 09.40.060. Date Signature of Process Server Type or Print Name Address Phone RESPONSE TO LEVY To Process Server: You are notified that (Name of Bank or Company) has $ (including funds protected under 31 CFR § 212) belonging to the person named below and is releasing the amount listed below to you. Debtor's Name: Debtor's Date of Birth: Case Number: Check Amount (excluding protected funds): $ (Write full case number on check.) There are no other unprotected funds belonging to judgment debtor in our possession or under our control. Date Write full case number on check. Make check payable to: "Clerk of Court." Mail check to the address of the process server listed above. CIV-556 (4/15)(cs) NOTICE OF LEVY BY A COURT WRIT ­ GOVERNMENT BANK SWEEP Civ. R. 69(j); Admin. Bulletin 87 American LegalNet, Inc. www.FormsWorkFlow.com Signature Type or Print Name Title