IN THE JUSTICE OF THE PEACE COURT OF THE STATE OF DELAWARE IN AND FOR ___________ COUNTY COURT NO. ______ COURT ADDRESS: ________________________________ CIVIL ACTION NO. ____________ ________________________________ PLAINTIFF(S): VS. DEFENDANT(S): ____________________________ _______________________________ ____________________________ _______________________________ JUDGMENT BY ADMISSION RETURN OF PROPERTY (REPLEVIN) . I admit that the property listed below belongs to Plaintiff and agree to return the property. I also agree with the value of the property as listed below. I understand that if I no longer have the property or it is damaged, the dollar value of the property will be awarded to Plaintiff. I also understand that if the property is damaged, an additional hearing may be required to determine the amount which will be awarded to Plaintiff. I further agree that I owe the following other ams to the Plainount tiff (other than the value of the property itself). I understand that I should pay these directly to the plaintiff. Return of Property ; Plus Court Costs $ _________________ Other (if applicable) $ _________________ Post-judgment interest at _______% annual rate (if applicable) Plaintiffs List of Property and Values (Continue on additional page, if necessary) Property Value I understand that I am waiving my right to trial and will not have a right to appeal this judgment by admission. _________________________________ ________________________________ (Defendant) (Defendant No. 2, if any) _________________________________ ________________________________ (Defendants Address/Phone No.) (Defendant No. 2s Address/Phone No.) Plaintiffs application for a writ of replevin is granted. Value of the property is as admitted above by Defendant. Costs are awarded to Plaintiff as specified above. IT IS SO ORDERED this _____ day of ________________ , 20___ __________________________ Justice of the Peace J.P. Civ. Form No. 14 AR (2/2/04) Doc. No. 02-13-04-02-10