RESET FORM
USDC/PJR-003 (04/05)
UNITED STATES DISTRICT COURT
FOR THE
SOUTHERN DISTRICT OF WEST VIRGINIA
AT SELECT ONE:
V.
WRIT OF EXECUTION
CIVIL ACTION
IN THE NAME OF THE UNITED STATES OF AMERICA: TO THE UNITED STATES MARSHAL FOR THE SOUTHERN DISTRICT OF WEST VIRGINIA: Pursuant to judgment taken in this action on that of the goods and chattels of in your bailiwick, you cause to be made the sum of $ thereon at the rate of which the above named recovered against the named and make your return thereof on . % per annum from with interest until paid, we command you
TERESA L. DEPPNER, CLERK OF COURTS
DATE:
BY: ______________________________ DEPUTY CLERK
USDC/PJR-003 (04/05)
RETURN ON WRIT OF EXECUTION
(FOR COMPLETION BY THE UNITED STATES MARSHAL OR A DEPUTY UNITED STATES MARSHAL)
DATE RECEIVED:
DATE EXECUTED:
This writ was received and executed. COMMENTS:
JAMES DAWSON, UNITED STATES MARSHAL
BY: DEPUTY MARSHAL