Application For Writ Of Execution Page 11

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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) DEPT MARSHAL

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