WRIT OF EXECUTION DISTRICT United States District Court Eastern District of New York TO THE MARSHALL OF: YOU ARE HEREBY COMMANDED, that of the goods and chattels, lands and tenements in your district belonging to: NAME: you cause to be made and levied as well as a certain debt of: DOLLAR AMOUNT DOLLAR AMOUNT in the United States District Court for the Eastern District of New York before the Judge of the said Court by the consideration of the same Judge lately recovered against the said, and also the costs that may accrue under this writ. And that you have above listed money at the place and date listed below; and that you bring this writ with you. PLACE DISTRICT CITY DATE Witness the Honorable ____________________________________________________ (United States Judge) DATE CLERK OF THE COURT (BY) RETURN DATE RECEIVED DATE OF EXECUTION OF WRIT This writ was received and executed. U.S. MARSHAL (BY) DEPUTY MARSHAL American LegalNet, Inc. www.FormsWorkflow.com