UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA CASE NUMBER: CVPlaintiff(s) v. AFFIDAVIT AND REQUEST FOR ISSUANCE OF WRIT OF EXECUTION Defendant(s) (check one) STATE OF CALIFORNIA, COUNTY OF STATE OF , COUNTY OF hereby state under penalty of perjury that, I, 1. Judgment for $ was entered on on the docket of the above-entitled action in the U.S. DISTRICT COURT, CENTRAL DISTRICT OF CALIFORNIA in favor of as Judgment Creditor, and against as Judgment Debtor (If a Registered Judgment from another Court or District, include the following information) Said Judgment was registered herein under Title 28, U.S. Code, Section 1963, being a Judgment which was obtained in Civil Case No. in the United States District Court for the District of and which has become FINAL. NOTE: JUDGMENTS REGISTERED UNDER 28 U.S.C. §1963 BEAR THE RATE OF INTEREST OF THE DISTRICT OF ORIGIN AND CALCULATED AS OF THE DATE OF ENTRY IN THAT DISTRICT. 2. I am the Judgment Creditor, or the attorney for said Judgment Creditor, and request issuance of a Writ of Execution on the Judgment. 3. ACCRUED since the entry of Judgment in the are the following sums: $ $ accrued interest, computed at accrued costs District of % (see note) which is to be Credit must be given for payments and partial satisfaction in the amount of $ credited against the total accrued costs and accrued interest, with any excess credited against the Judgment as entered. I declare under penalty of perjury that the foregoing is true and correct. Executed at 2 Signature State of , this day of AFFIDAVIT AND REQUEST FOR ISSUANCE OF WRIT OF EXECUTION CV-24 (6/01) 2002 © American LegalNet, Inc.