THIS FORM MUST BE PRINTED ON A SINGLE SHEET FRONT AND BACK Justice Court, Las Vegas Township CLARK COUNTY, NEVADA Name: _______________________________________________ Address:____________________________________________________ CASE NO. ___________________ DEPT. NO. ____________ _____________________________________________________ Plaintiff, WRIT OF EXECUTION --vs-- EARNINGS Name: ____________________________________________________ BANK ACCOUNTS Address:____________________________________________________ OTHER PROPERTY ____________________________________________________ Defendant. THE PEOPLE OF THE STATE OF NEVADA, TO THE CONSTABLE/SHERIFF, LAS VEGAS TOWNSHIP, CLARK COUNTY, GREETINGS: On _______________________________, 20_____________, a judgment was entered by the above-entitled court in the above-entitled action in favor of _______________________________________________, as Judgment Creditor, and against _______________________________________________, as Judgment Debtor, for: $_____________________________________________ Principal, $_____________________________________________ Pre-Judgment Interest, $_____________________________________________ Attorney’s Fees, and $_____________________________________________ Costs, making a total amount of $______________________________________________ The judgment as entered, and WHEREAS, according to an affidavit or a memorandum of costs after judgment, or both, filed herein, it appears that further sums have accrued since the entry of judgment, to wit: $______________________ Accrued Interest, and $______________________ Accrued Costs, together with $______________________ fee, for the issuance of this writ, making a total of $______________________ as accrued costs, accrued interest and fees. Credit must be given for payments and partial satisfactions in the amount of $________________________ which is to be first credited against the total accrued costs and accrued interest, with any excess credited against the judgment as entered, leaving a net balance of $________________________ actually due on the date of the issuance of this writ, of which $___________________ bears interest at _________ percent per annum, in the amount of $_________ per day, from the date of judgment to the date of levy, to which must be added the commissions and costs of the officer executing this writ. American LegalNet, Inc. www.FormsWorkFlow.com THIS FORM MUST BE PRINTED ON A SINGLE SHEET FRONT AND BACK NOW, THEREFORE, CONSTABLE/SHERIFF, you are hereby commanded to satisfy this judgment with interest and costs as provided by law, out of the personal property of the judgment debtor, except that for any workweek, 75 percent of the disposable earnings of the debtor during that week or 50 times the minimum hourly wage prescribed by section 6(a)(1) of the federal Fair Labor Standards Act of 1938, 29 U.S.C. § 206(a)(1), and in effect at the time the earnings are payable, whichever is greater, is exempt from any levy of execution pursuant to this writ, and if sufficient personal property cannot be found, then out of the real property belonging to the debtor in the aforesaid county, and make return to this writ within not less than 10 days or more than 60 days endorsed thereon with what you have done. _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Dated: This_____ day of the month of _________________________ of the year ______________________. Issued at direction of: ____________________________________ [ ] Plaintiff [ ] Attorney for Plaintiff By: ______________________________ Deputy Clerk Date: _______________________________ CONSTABLE/SHERIFF INFORMATION AMOUNTS TO BE COLLECTED BY LEVY: _____ Not satisfied $________________ _____ Satisfied in sum of NET BALANCE: ____________ RETURN: $________________ Garnishment Fee: ____________ _____ Costs retained $________________ Mileage: ____________ _____ Commission retained $________________ Levy Fee: ____________ _____ Costs incurred $________________ Sub-Total: ____________ _____ Commission incurred $________________ Commission: ____________ _____ Costs received $________________ TOTAL LEVY: ____________ REMITTED TO JUDGMENT CREDITOR: $______________________________________ I hereby certify that I have this date returned the Foregoing Writ of Execution with the results of the levy endorsed thereon. CONSTABLE OR SHERIFF’S CIVIL PROCESS SECTION, LAS VEGAS TOWNSHIP By: ___________________________ Title ___________________________ Date American LegalNet, Inc. www.FormsWorkFlow.com