Form Approved for Optional Use Shasta County Superior Court CF - 0061 [July 5, 2018] SEARCH WARRANT RETURN AND INVENTORY Page 1 of 1 SUPERIOR COURT OF CALIFORNIA COUNTY OF SHASTA SEARCH WARRANT RETURN AND INVENTORY During the execution of the search warrant, the following property was seized: Property listed in Exhibit A, which is a document attached hereto and incorporated by reference. Property listed below: I, , the officer by whom this warrant was executed, do swear that the above inventory contains a true and detailed account of all the property taken by me on the warrant. /d1/ /s1/ Date Officer/Affiant Sworn to and subscribed before me, this date /d2/ . /s 2 / Judge of the Superior Court, County of Shasta Search Warrant No. Issuing Magistrate: Date warrant issued: Date warrant executed: Address(es) of place(s) Searche d: Person(s) served and title: Man ner of service: Personal Service Mail F ax American LegalNet, Inc. www.FormsWorkFlow.com