UNITED STATES DISTRICT COURTDISTRICT OF NEW HAMPSHIRECivil No. WRIT OF EXECUTIONTO THE MARSHAL OF THE UNITED STATES DISTRICT COURT, DISTRICT OF NEW HAMPSHIRE: WHEREAS, judgment was entered on the day of , 20, in anaction in the United States District Court, in favor of (223judgment creditor224) against (223judgment debtor224) in the sum of $ , plus costs taxed at $ ,as it appears on the record, and execution remains to be done; I COMMAND YOU, therefore, to levy upon the money, goods, chattels, lands, personal estate,property interest, right or credit of the above said judgment debtor(s) found in this district [foundanywhere in the United States if the government is the judgment creditor], as set forth in theattached affidavit, and to pay to the judgment creditor(s) named or their attorney the above sumstated, with lawful interest thereon, and also to pay your own fees, and to return the writ, statingthe results of your doings, to this court not later than six (6) months after the date of its issuance. I COMMAND THE JUDGMENT CREDITOR, or their counsel, to accompany the UnitedStates Marshal should it be necessary during the execution of this writ, to answer any questionsthat may arise during execution, and, unless otherwise ordered by the court, to serve as thesubstitute custodian over and maintain direct responsibility for the custody of any property leviedupon by the United States Marshal. A substitute custodian shall hold the United States Marshalharmless for any damage to the seized property while in their custody. I FURTHER COMMAND THE JUDGMENT CREDITOR to compensate the United StatesMarshal for fees and expenses incurred during the execution of this writ to the extent notsatisfied through the levy process.WITNESS, the Honorable , Chief Judge of the U District Court,District of New Hampshire, this day of , 20. Judgment$ Costs$ Interest$ Daniel J. Lynch, Clerk of CourtTOTAL$ United States District Court USDCNH-85 (rev. ) American LegalNet, Inc. www.FormsWorkFlow.com NOT INCLUDING MARSHAL222SEXECUTION FEESPrepared By:AttorneyAddress: RETURNDATE RECEIVEDDATE OF EXECUTION OF WRITThis writ was received and executed.U.S. MARSHAL(BY) DEPUTY MARSHAL USDCNH-85 (rev. American LegalNet, Inc. www.FormsWorkFlow.com ATTACHMENT TO WRIT OF EXECUTION AFFIDAVIT IN SUPPORT OF WRIT OF EXECUTIONI, , being duly sworn, submits thisaffidavit in compliance with LR 69.1:1.I am the judgment creditor/attorney for the judgment creditor in the case of:2.Below is a statement outlining efforts made to recover judgment:3.I certify that demand has been made to satisfy the judgment.4.Below is a statement outlining any amounts paid and the amount still owing on thejudgment:5.If the principal amount the affiant claims is owed differs from the amount awarded in thejudgment, below is a statement to explain that difference: USDCNH-85 (rev. ) American LegalNet, Inc. www.FormsWorkFlow.com 6.I certify that the amount refected on the Writ of Execution is the amount due.7.I have caused to be conducted an examination of the assets of judgment debtor anddetermined the following non-exempt real and/or personal property of the judgment debtor issubject to execution in satisfaction of the judgment therein: Property Description Property LocationDateAffiant SignatureSTATE OF COUNTY OF Personally appeared the person signing the above affidavit and swore that it is true to thebest of the affiant222s knowledge and belief.DateNotary Public/Justice of the Peace USDCNH-85 (rev. ) American LegalNet, Inc. www.FormsWorkFlow.com