Approved, SCAO Original - Court 1st copy - Officer 2nd copy - Defendant 3rd copy - Plaintiff STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT Court address CASE NO. REQUEST AND ORDER TO SEIZE PROPERTY Court telephone no. Plaintiff name(s), address(es), and telephone no(s). Defendant name(s), address(es), and telephone no(s). v REQUEST AND VERIFICATION 1. Plaintiff received judgment against defendant for $ on . 2. The total amount of judgment interest accrued to date is $ . The total amount of postjudgment costs accrued to date is $ . The total amount of postjudgment payments made and credits to date is $ . The amount of the unsatisfied judgment now due (including interest and costs) is · $ . *Statutory interest, officer/sheriff fees, and expenses may be charged in addition to the unpaid judgment balance, according to law. 3. The plaintiff asks the court to issue an order to seize the property of the following defendant(s): Name Name Date of birth (if available) Date of birth (if available) Date Plaintiff/Attorney signature Bar no. Address City State Zip Telephone no. ORDER TO ANY SHERIFF, DEPUTY SHERIFF, OR AUTHORIZED COURT OFFICER - YOU ARE ORDERED TO: 1. Seize and sell, according to law, any of the personal property (as determined by the officer) of defendant(s) named above in the Request and Verification that is not exempt from seizure, as will be sufficient to satisfy the plaintiff's demand, costs, and any statutory fees and expenses. Personal property may include, but is not limited to motor vehicles or money, wherever located. 2. If sufficient personal property of defendant(s) cannot be found within your jurisdiction, seize and sell any of the real property of defendant(s) not exempt from seizure, as will be sufficient to satisfy plaintiff's demand, costs, and any statutory fees and expenses. 3. Collect from the sale of the property enough money to pay all of your statutory fees and statutory expenses. 4. Deposit proceeds of sale with the court plaintiff after deducting statutory fees and statutory expenses. 5. Claim and Delivery Only: Seize the property described in the attached judgment for claim and delivery and deliver to the plaintiff(s); or if the property is not found in the possession of the defendant(s), levy the value of it. 6. You must endorse the month, day, year, and hour that you receive this order, and that time is the effective date of this order. You must return this order not less than 20 days, nor more than 90 days, from the effective date. If you have begun to serve this order on or before the return date, you may complete the service and return after the return date. 7. You may not continue collecting on this order after the return date except as indicated in item 6. 8. Order to be served by . Authorized court officer/Deputy sheriff Date Judge Bar no. ENDORSEMENT: I certify that I received this order on Date Authorized court officer/Deputy sheriff at Time . TO THE DEFENDANT: The person taking property must provide you with a receipt of all money paid by you and an inventory of the property taken. MC 19 (3/13) REQUEST AND ORDER TO SEIZE PROPERTY MCL 600.2920, MCL 600.6002, MCR 3.106 American LegalNet, Inc. www.FormsWorkFlow.com