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IN THE UNITED STATES DISTRICT FOR THE DISTRICT OF COLORADO Civil Action No.

Plaintiff, vs. Defendant.

WRIT OF EXECUTION

TO THE MARSHAL OF THE DISTRICT OF COLORADO: YOU ARE HEREBY COMMANDED TO levy upon the property, goods, chattels, lands and tenements of the above named defendant(s), ____________________________________ ______________________________________, found in your district to enforce the payment of the judgment obtained against said defendant(s), _____________________________________ ______________________________________, and in favor of the above-named plaintiff(s) ______________________________________, in the principal sum of $ _____________, with costs taxed of $_____________, together with interest of ___________% per annum from the date of the entry of said judgment on _________________, 20____. The said judgment now remains unsatisfied on the records in this office, except for the payments made on the dates as follows: ____________________________________. That you make a return of this Writ of Execution, showing in what manner you have executed the same, and upon what property of the defendant(s), you have made levy and/or money received. Also you shall include your fees which shall be taxed as costs. That you file this Writ with the Clerk of this Court within 90 days. WITNESS my hand and seal of the above-captioned court at Denver, Colorado, this _____ day of _________________, 20____.

GREGORY C. LANGHAM, Clerk ________________________________ Attorney for Plaintiff(s) ________________________________ Address ________________________________ City, State, Zip Code By: Deputy Clerk