Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Email Address (if any) IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF SMALL CLAIMS DEPARTMENT Case No. , Plaintiff(s), vs. APPLICATION AND AFFIDAVIT FOR WRIT OF EXECUTION , Defendant(s). I, , upon personal knowledge of the facts and circumstances recited herein, certify and state: 1. I am over the age of 18 years, and I am the Plaintiff in this case, or the Plaintiff in this case is a business organization and I am an owner or employee of the Plaintiff. 2. A judgment was entered against the Defendant(s) in this case on 3. The total amount of the judgment was $ 4. The Defendant has/Defendants have paid a total of $ 5. Post-judgment interest has accrued in the amount of $ . . . . APPLICATION AND AFFIDAVIT FOR WRIT OF EXECUTION CAO SC 9-1 07/01/2016 PAGE 1 American LegalNet, Inc. www.FormsWorkFlow.com 6. Post-judgment costs and fees have been incurred in the amount of $ . (Enter the clerk's fee for the writ. If you have paid fees to the Sheriff's office for prior attempts to execute on this judgment, you can include those amounts also, but only if you attach copies of the receipts to this application. Other costs and fees must be approved by the court. To obtain court approval, the applicant must file a written motion with the court, schedule a hearing before the court, and give notice of the motion and hearing to the Defendant.) CERTIFICATION UNDER PENALTY OF PERJURY I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct. Date: Typed/printed name Signature APPLICATION AND AFFIDAVIT FOR WRIT OF EXECUTION CAO SC 9-1 07/01/2016 PAGE 2 American LegalNet, Inc. www.FormsWorkFlow.com