COURT USE ONLY ATTORNEY OR PARTY WITHOUT (Name, State Bar Number, and address): Telephone No.: Fax No. (Optional): ATTORNEY FOR (Name): Bar No.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO Barstow District, 235 East Mountain View Street, Barstow 92311 Big Bear District, Location: 477 Summit Blvd., Big Bear Lake 92315 Mail: Victorville District Chino District, 13260 Central Avenue, Chino 91710 Fontana District, 17780 Arrow Blvd., Fontana, CA 92335 Joshua Tree District, 6527 White Feather Road, Joshua Tree 92252 Needles District, 1111 Bailey Avenue, Needles 92363 Rancho Cucamonga District, 8303 Haven Avenue, Rancho Cucamonga 91730 San Bernardino Civil Division, 303 West Third Street, San Bernardino 92415-0210 Victorville District, 14455 Civic Drive, Suite 100, Victorville 92392 CLERK'S USE ONLY PLAINTIFF(S)/PETITIONER(S): DEFENDANT(S)/RESPONDENT(S): APPLICATION FOR ISSUANCE OF WRIT OF EXECUTION PURSUANT TO CCP 712.010 CASE NUMBER: 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 May 30, 2012 Form No. SB-03W American LegalNet, Inc. www.FormsWorkFlow.com