Approved, SCAO Original - Court 1st copy - Defendant 2nd copy - Officer 3rd copy - Plaintiff STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT Court address CASE NO. REPORT OF COLLECTION ACTIVITY UNDER ORDER TO SEIZE PROPERTY Court telephone no. Plaintiff's name(s) v Defendant's name(s) TO THE OFFICER SEIZING PROPERTY: This report must be filed with the court within 14 days after the return date or the judgment is satisfied, whichever occurs first. If seized property remains to be sold after the return date, activity on sale of the property may continue and an updated report must be filed with the court within 14 days of the sale of the property. CERTIFICATE OF SERVICE OF ORDER TO SEIZE PROPERTY I certify that I received and endorsed the order to seize property on at and that on I served a copy of the order to seize property as specified below: personal service on , the defendant/defendant's agent. posting or leaving it at the following conspicuous place REPORT OF COLLECTION ACTIVITY 1. The order to seize property was satisfied in full, in part, and the seized property disposed of according to law. a. The total amount collected to date is $ . Details are provided below. $ Statutory fees Service fee ........................ $ 7% of first $8,000...... $ Roundtrip mileage fee ...... $ 3% thereafter ........... $ $ Statutory expenses for taking, keeping, and selling Appraisal fees ................... $ Locksmith costs ....... $ Towing costs .................... $ Inspection costs ....... $ Storage costs ................... $ Sale costs ................ $ Man hours/Labor costs (if more than two individuals, attach separate sheet) ( ___ hours X $______ per hour); ( ___ hours X $______ per hour) .. $ specify the activities the person(s) performed and the hours associated with those activities: , . Other (specify type) $ $ Judgment amount paid to plaintiff: check/money order no. Date: b. Activity on property seized before the return date will continue after the return date. 2. Real property was levied on . 3. The order to seize property was not satisfied for the following reasons: a. Defendant's address is incorrect and I am unable to locate a new one. b. Defendant states he/she filed bankruptcy on , case number (if known). c. After diligent search, I am unable to locate any personal property of the defendant's that exceeds the statutory exemption. d. Other: I am authorized to seize this property under MCR 3.106, and I certify that the above statements are true and accurate. On this date, I provided copies of this report to the plaintiff or plaintiff's attorney. Attach additional sheets if necessary. INVENTORY OF PROPERTY SOLD Item/Description/Model Type/V.I.N./Serial Number Quantity Amount/Value Date Signature MC 83 (6/13) Name (type or print) Court officer/Deputy sheriff Telephone no. MCL 600.6002, MCR 3.106 American LegalNet, Inc. www.FormsWorkFlow.com REPORT OF COLLECTION ACTIVITY UNDER ORDER TO SEIZE PROPERTY