WRIT OF EXECUTION DISTRICT United States District Court TO THE MARSHAL 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 a certain debt of: DOLLAR AMOUNT DOLLAR AMOUNT and In the United States District Court for the ______________________________ District of _______________________, 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 moneys 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 COURT (BY) DEPUTY CLERK 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