SAN BERNARDINO COUNTY SHERIFF'S DEPARTMENT COURT SERVICES DIVISION WRIT OF POSSESSION FOR REAL PROPERTY (EVICTION) John McMahon, Sheriff THIS INSTRUCTION FORM IS REQUIRED FOR ALL EVICTION REQUESTS. NO OTHER LETTER OF INSTRUCTIONS WILL BE ACCEPTED. Plaintiff: Defendant(s): Does the writ specify "No Lockout Prior To:"? No Yes Was the property subject to a foreclosure? No Yes Was the property subject to a bankruptcy proceeding? No Court Case #: Date: Yes Bankruptcy File #: WHAT IS REQUIRED FOR SERVICE? Original Writ of Possession for Real Property Initial Service Fee: $145.00 per unit (Separate units must be described in the writ.) Provide the requested information below... SHERIFF OF SAN BERNARDINO COUNTY PLEASE ENFORCE THE WRIT IN THE MANNER PRESCRIBED BY LAW. 1 Please provide a description of the property or a map if necessary. Who are we evicting? What is the full address? Is there a building code or gate code? No Yes, the code is: IF AN ACCESS CODE IS REQUIRED TO POST THE NOTICE TO VACATE AND IT IS NOT PROVIDED -ORIF THE PROPERTY ADDRESS IS NOT CLEARLY VISIBLE ON THE BUILDING OR THE CURB THE EVICTION WILL NOT TAKE PLACE and ADDITIONAL FEES WILL APPLY. You should be at the property no less than 30 minutes prior to the scheduled eviction/restoration time. 2 Who will be meeting the Sheriff at the time of eviction/restoration? Name: 3 Contact #: Please provide the contact information for the attorney or the plaintiff not represented by an attorney. Printed Name: Mailing Address: Contact Phone(s): Signature of Plaintiff/Attorney: Date: SEE PAGE 2 OF THIS FORM FOR ADDITIONAL REQUIRED INFORMATION Rev. 11/3/14 CIV-002 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com WRIT OF POSSESSION FOR REAL PROPERTY (EVICTION) 4 Do you know of any illegal activity that may be taking place at this address? No Yes, see below: 5 Do you know of any prior police contact at this address? No Yes, see below: 6 Please provide additional information on any issues that may pose a threat to a safe eviction process: Firearms: Other weapons: Threats made (what threats? to whom?): Surveillance cameras: Previous suicide attempts: Vicious animals (list): Alarms: Other hazards to our deputies: Other (please describe): 7 Please provide each defendant(s)/occupant(s) information (use an additional sheet if necessary): Full Name: Date of Birth/Age: Gender: Race: CDL#: SS#: Home Phone: Cell Phone: Full Name: Date of Birth/Age: Gender: Race: CDL#: SS#: Home Phone: Cell Phone: 8 Please check each box that applies and provide an explanation: Elderly Disabled Language Spoken Foreclosure Assaultive Medical Problems Mental Illness Bankruptcy Children (ages) Hoarding 9 Who completed this form? (Please print) Phone: Date: Name: FOR OFFICE USE ONLY Reviewed By: Supervisor Notified: Rev. 11/3/14 CIV-002 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com