File No. Abstract No. STATE OF NORTH CAROLINA Judgment Book & Page No. In Original County County In The General Court Of Justice Name And Address Of Plaintiff WRIT OF EXECUTION - G.S. 1-313(1); 1C, Art. 16 VERSUS Name And Address Of Defendant 1 Name And Address Of Defendant 2 - - To The Sheriff Of County: Judgment in favor of the plaintiff was rendered in this case against the defendant. By terms of that judgment the following sums are now due: Principal Due As Of Today....................................................$ $ Plus Dollar Amount Of Interest Due As Of Today................. Plus Court Cost Due As Of Today........................................$ $ Plus Other............................................................................. $ Total Due As Of Today........................................................ Plus, interest on the principal at the rate set out below shall be due from the date shown below, and a sheriffs commission shall be collected on sales of property or funds collected of 5% on the first $500 and 2-1/2% on all sums over $500. (NOTE: Interest is due on all bond forfeiture judgments for appearance bonds signed on or after 10/1/99.) Date From Which Interest Due Date Of Judgment County To Which Issued File No. Rate Of Interest Daily Interest Rate Judgment Docket Book & Page No. Transcript No. Date And Time Of Docketing Contract Rate Legal Rate You are commanded to satisfy the judgment: out of the personal property of the defendant, and if sufficient personal property cannot be found, then out of the real property belonging to the defendant on the day the judgment was docketed in your county as shown above or any time after that date. except as to property of the defendant set off as exempt (a list of which is attached) out of the personal property of the defendant within your county and if sufficient personal property cannot be found, then out of the real property belonging to the defendant on the day the judgment was docketed in your county as shown above or any time after that date. Additional Order For Satisfying Judgment County In Which Order To Be Served Date Issued Name And Address Of Creditors Attorney Signature Deputy CSC Assistant CSC Clerk Of Superior Court - AOC-CV-400, Rev. 9/03 (Over) 2003 Administrative Office of the Courts >>>> 2 RETURN OF EXECUTION This Writ Of Execution was served as follows: by collecting the amount owed. by levying on and selling the property of the defendant described below and returning to the court the balance shown below. Date Of Levy Description Of Property Levied On And Sold Total Sum Collected Amount Retained As Commission Amount Retained For Expenses Balance Returned$ $ $ $ I did not serve this Writ Of Execution because: I did not locate property on which to levy. Other: (specify) Service Fee Paid Date Received Name of Sheriff (Type Or Print) $ Paid By Date Executed County Date Of Return Signature Of Deputy Sheriff Making Return AOC-CV-400, Side Two, Rev. 9/03 2003 Administrative Office of the Courts