UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS TRUSTEE EXECUTION CIVIL ACTION NO. _____________________ To the United States Marshal for the District of Massachusetts or either of his Deputies and to WHEREAS on the day of , Special Process Server: has recovered , _____, for the sum of $ , debt or damage, pre-judgment interest in the amount of $ amount of $ be done, , and costs of this suit in the , as to us appears of record, whereof this Execution remains to WE COMMAND YOU, therefore, that the funds of said Trustee, to cause to be paid and satisfied unto the said Judgment Creditor, at the value thereof in money, the aforesaid sums, being a total of $ , in the whole, with interest thereon at the rate of % from said day of rendition of said judgment; and thereof also to satisfy yourself for your own fees. HEREOF FAIL NOT and make due return of this Writ with your doings thereon into the Clerk's Office of our said court, at , Massachusetts, within Twenty (20) years after the date of said judgment, or within Ten (10) days after this Writ has been satisfied or discharged. Dated this day of , ______. ROBERT M. FARRELL CLERK OF COURT SEAL By: Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com