SUPERIOR COURT OF CALIFORNIA, COUNTY OF SHASTA BENCH WARRANT IDENTIFICATION SHEET Case Title: _______________________________ vs. _______________________________ Date of failure to appear: ________________ Case No.: ______________ PLEASE NOTE: The following information about the Debtor is MANDATORY for the issuance of a civil bench warrant. Name (full legal name if available) Last Known Address: Physical Description: Gender (circle one): Race: Male Female Height: __________ Weight: __________ Complexion: _______ __________ Hair Color: __________ Eyes: __________ The following information regarding the debtor should be provided if known in order for the Sheriff's Office to properly identify and serve the Debtor: Date of Birth: ______________ Soc Sec # _____________________ Driver License No.: __________________________ Other Identifying Marks: _______________________________________________ _______ Date ____________________________ _______________________________ Creditor's printed name Creditor's Signature CONTACT THE SHERIFF'S CIVIL UNIT TO DETERMINE THEIR FEE FOR SERVICE. FAILURE TO SUPPLY THE INFORMATION REQUESTED ABOVE MAY PREVENT ISSUANCE OF THE WARRANT OR AFFECT SERVICE OF THE WARRANT. Return this completed form by mail or in person to: Superior Court of California, County of Shasta 1500 Court Street, Room 319, Redding, CA 96001 ______________________________________________________________________________ Form Approved for Optional Use Shasta County Superior Court LF-MSC-101 [rev July 1, 2012] BENCH WARRANT IDENTIFICATION SHEET CCP §1993 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com