Writ Of Possession For Real Property (Eviction) Form - Ventura County Page 2
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2COURT CASE #: _________________________________________________
5
Do you know of any illegal activity that may be taking place at this address?
NO
YES - explain:
6
Do you know of any prior police contact at this address?
NO
YES - explain:
7
Please provide additional information on any issues that may pose a threat to a safe eviction process:
Violent or criminal history:
UNK
NO
YES - explain: ______________________________
Firearms or other weapons:
UNK
NO
YES - explain: ______________________________
Gang involvement:
UNK
NO
YES - explain: ______________________________
Illegal drug use:
UNK
NO
YES - explain: ______________________________
Threats made:
UNK
NO
YES - explain: ______________________________
Surveillance cameras:
UNK
NO
YES - explain: ______________________________
Previous suicide attempts:
UNK
NO
YES - explain: _______________________________
Vicious animals (list):
UNK
NO
YES - explain: ______________________________
Alarms:
UNK
NO
YES - explain: ______________________________
8
Please provide the following information for each defendant (use an additional sheet if necessary):
Full Name:
Full Name:
Date of Birth:
Date of Birth:
Gender:
Gender:
Race:
Race:
CDL#:
CDL#:
SS#:
SS#:
Home Phone:
Home Phone:
Cell Phone:
Cell Phone:
9
Please provide any additional information of which you believe deputies should be aware:
Elderly: _______________________________
Medical problems: ________________________
Disabled: ______________________________
Mental illness: ____________________________
Language spoken: _______________________
HUD Housing: ____________________________
Foreclosure: ___________________________
Children (ages): ___________________________
Assaultive: ____________________________
Animals: ________________________________
10
Name of person who provided this information: (Please print)
Name: ____________________________ Phone: _________________________ Date: _________________
VCSO Eviction Instructions (REV January 2015)
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