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WRIT OF EXECUTION
DISTRICT

United States District Court
TO THE MARSHALL OF:

Eastern District of New York

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 as a certain debt of:
DOLLAR AMOUNT DOLLAR AMOUNT

in the United States District Court for the Eastern District of New York 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 money 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 THE COURT

(BY)

RETURN
DATE RECEIVED DATE OF EXECUTION OF WRIT

This writ was received and executed.
U.S. MARSHAL (BY) DEPUTY MARSHAL