Form No. 502 Writ of Execution Court STATE OF VERMONT WRIT OF EXECUTION County/Circuit Docket No.: To any sheriff or constable within the State: Plaintiff (Address and Telephone No.) vs Defendant (Address and Telephone No.) I. On Date , the Plaintiff recovered judgment in the county and court named above against Defendant in this action in the amount of: $ Interest (+) $ Costs (+) $ Attorney Fees (=) (+) $ Judgment $ Damages (+) II. This paragraph is applicable only if there has been post-judgment activity, either a partial payment or the accumulation of post-judgment sheriff's costs. (a) Since judgment, costs and interest have accrued as follows:......................... $ $ $ $ Sheriff fees Filing fees Interest Partial Payment Balance Still Due Plaintiff (b) On (c) , the Defendant partially satisfied this judgment by paying. (-) (=) Therefore, the balance due Plaintiff as of the date this writ was issued........ $ III. Execution remains to be done. Therefore, by the authority of the State of Vermont you are hereby commanded that of the goods, chattels, or lands of said Defendant, within your precinct, you cause to be paid and satisfied unto the $ said Plaintiff at the value thereof in money the balance of the judgment together with interest per day from the date of judgment or date of partial payment to and including the date of satisfaction, and therefore also satisfy yourself of your own fees, and make return of this writ with your doings thereon within 60 days from the date hereof. Date: Clerk Endorsement of Attorneys of Record by Clerk (12 V.S.A. § 2682) Attorney for Plaintiff Attorney for Defendant Date Returned to Ct. RETURN OF SERVICE Street Town/City County Date At I visited the above named Defendant and demanded payment of the judgment; Miles $ Amount (+) $ Service (+) $ Postage (+) Assisting Officer (+) Other (=) (+) (+) (=) $ Bill of Fees Comments: Interest from III $ Balance from I or II $ Total Due $ Payment $ Outstanding Balance The above named Defendant (failed to satisfy) (satisfied) said execution in (full) (part) by paying. . (-) (=) $ I returned the original Writ of Execution to the above named (Plaintiff) (Court of Issue): $ Amount Deputy Sheriff American LegalNet, Inc. www.FormsWorkFlow.com Check No.: Date 9/08 SML American LegalNet, Inc. www.FormsWorkFlow.com