WRIT OF EXECUTION REQUEST

COURT INFORMATION

Court Name: ____________________________________________________________

Court Address: _________________________________________________________

Case Number: ___________________________________________________________

Department/Division: ___________________________________________________

PARTIES

Judgment Creditor (Applicant)

Name: __________________________________________________________________

Address: _______________________________________________________________

City, State, ZIP: ______________________________________________________

Phone: ______________________________ Email: ________________________

Attorney Name: _________________________________________________________

Attorney Bar Number: ___________________________________________________

Attorney Address: ______________________________________________________

Attorney Phone: ________________________ Attorney Email: _____________

Judgment Debtor

Name: __________________________________________________________________

Address: _______________________________________________________________

City, State, ZIP: ______________________________________________________

SSN (last 4 digits, if known): XXX-XX-___________________________________

Date of Birth (if known): ______________________________________________

Driver's License Number (if known): ____________________________________

JUDGMENT INFORMATION

Date Judgment Entered: _________________________________________________

Judge Who Entered Judgment: ____________________________________________

Type of Judgment:
☐ Default Judgment
☐ Summary Judgment
☐ Judgment After Trial
☐ Stipulated Judgment
☐ Consent Judgment
☐ Judgment on Arbitration Award
☐ Foreign Judgment (domesticated)
☐ Sister State Judgment (registered)
☐ Other: _________________________________________________________________

Judgment Amounts

Post-Judgment Calculations

Interest Rate: _________% per annum ☐ Simple ☐ Compound

Statutory Authority for Interest Rate: _________________________________

Itemization of Additional Costs

TYPE OF WRIT REQUESTED

☐ Writ of Execution - Personal Property
Target property: _______________________________________________________

☐ Writ of Execution - Real Property
Property address: ______________________________________________________
APN/Parcel Number: _____________________________________________________

☐ Writ of Execution - Wages/Earnings
Employer name: _________________________________________________________
Employer address: ______________________________________________________

☐ Writ of Execution - Bank Account Levy
Financial institution: _________________________________________________
Branch address: ________________________________________________________

☐ Writ of Possession (for specific property)
Property description: __________________________________________________

☐ Writ of Sale (real property)
Property address: ______________________________________________________

☐ Till Tap/Keeper Levy
Business name: _________________________________________________________
Business address: ______________________________________________________

☐ Other: ______________________________________________________________

PROPERTY TO BE LEVIED

Real Property

Bank Accounts

Vehicles

Other Personal Property

Business Assets

EXEMPTION CONSIDERATIONS

Federal Exemptions

☐ Social Security benefits (42 U.S.C. § 407)
☐ Federal retirement benefits (5 U.S.C. § 8346)
☐ Veterans benefits (38 U.S.C. § 5301)
☐ Railroad retirement benefits (45 U.S.C. § 231m)
☐ Federal student aid
☐ ERISA-qualified retirement funds (29 U.S.C. § 1056)

State-Specific Exemptions

California Exemptions (CCP §§ 704.010-704.990)

☐ Homestead: $300,000 - $600,000+ (varies by county median home price)
☐ Motor vehicle: $3,325 equity (higher for disabled)
☐ Personal property/household items: Various limits
☐ Tools of trade: $9,525
☐ Wages: See CCPA limits (40× state minimum wage)
☐ Public benefits: Fully exempt
☐ Retirement accounts: Generally exempt
☐ Life insurance cash value: $14,200
☐ Health aids: Necessary items exempt
☐ Bank account (direct deposit exemption): $1,788 automatic protection

New York Exemptions (CPLR Article 52; Debtor & Creditor Law)

☐ Homestead: $179,975 - $299,825 (varies by county)
☐ Motor vehicle: $4,825
☐ Personal property: $11,575 aggregate
☐ Tools of trade: $3,475
☐ Wages: 90% exempt if below 250% federal poverty level
☐ Public benefits: Fully exempt
☐ Retirement accounts: Generally exempt
☐ Bank account exemption: $3,600 (automatically protected)
☐ College savings (529 plans): Exempt

Texas Exemptions (TX Property Code Chapter 42)

☐ Homestead: Unlimited value; 10 acres urban / 100-200 acres rural
☐ Personal property: $50,000 single / $100,000 family
☐ Motor vehicles: One per licensed household member
☐ Wages: 100% exempt from consumer debt collection
☐ Retirement accounts: Fully exempt (IRA, 401k, pension)
☐ Life insurance/annuities: Fully exempt
☐ Current wages in bank: 60 days protected
☐ College savings (529 plans): Exempt

Florida Exemptions (FL Constitution Art. X; FL Statutes Chapter 222)

☐ Homestead: Unlimited value; 1/2 acre urban / 160 acres rural
☐ Motor vehicle: $1,000 equity
☐ Personal property: $1,000 (or $4,000 if no homestead claimed)
☐ Wages (head of family): 100% exempt if ≤$750/week disposable
☐ Wages in bank account: 6 months of earnings if traceable
☐ Retirement accounts: Fully exempt
☐ Life insurance cash value: Fully exempt
☐ Annuities: Fully exempt
☐ Disability income benefits: Fully exempt

LEVY INSTRUCTIONS TO SHERIFF/MARSHAL

Levying Officer: ☐ Sheriff ☐ Marshal ☐ Constable ☐ Other: ______________

County: ________________________________________________________________

Specific Instructions:

☐ Standard Levy - Seize and hold property pending sale

☐ Keeper Levy - Install keeper at business premises
- Duration requested: _______ days
- Business hours: ___________ to ___________

☐ Till Tap - Collect cash receipts from business
- Duration: _______ days

☐ Wage Garnishment - Serve employer and collect ongoing wages
- Employer contact: ____________________________________________________

☐ Bank Levy - Freeze and collect funds from account(s)
- Account number(s) if known: __________________________________________

☐ Vehicle Seizure - Locate and tow vehicle
- Known locations: _____________________________________________________
- VIN: _________________________________________________________________

☐ Real Property Lien - Record abstract of judgment
- County recorder: _____________________________________________________

☐ Real Property Sale - Conduct execution sale
- Minimum bid requirements: ____________________________________________

Additional Instructions:

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

PRIOR COLLECTION ATTEMPTS

☐ Demand letter(s) sent - Date(s): ________________________________________

☐ Payment plan offered - Date: ___________________________________________

☐ Debtor examination conducted - Date: ____________________________________

☐ Prior writ(s) issued - Date(s): ________________________________________
Result: ________________________________________________________________

☐ Wage garnishment attempted - Date: _____________________________________
Result: ________________________________________________________________

☐ Bank levy attempted - Date: ____________________________________________
Result: ________________________________________________________________

☐ Other: _________________________________________________________________

FEE DEPOSIT

Sheriff/Marshal Fee Deposit: $__________________________________________

Recording Fees (if applicable): $______________________________________

Publication Costs (if applicable): $___________________________________

Other Costs: $__________________________________________________________

Total Deposit: $________________________________________________________

Payment Method: ☐ Check ☐ Money Order ☐ Cash ☐ Credit Card

DECLARATIONS AND CERTIFICATIONS

Judgment Creditor Declaration

I, the undersigned, declare under penalty of perjury under the laws of the State of __________________ that:

1. I am the judgment creditor or authorized representative of the judgment creditor in this matter.

2. The judgment described herein is valid, enforceable, and has not been:
   ☐ Fully satisfied
   ☐ Vacated or reversed
   ☐ Discharged in bankruptcy
   ☐ Stayed by court order or supersedeas bond
   ☐ Subject to pending appeal (or if appealed, no stay is in effect)

3. The amounts stated above are true and correct to the best of my knowledge.

4. No other writ of execution is currently outstanding on this judgment for the same property.

5. I have provided accurate instructions to the levying officer.

6. I understand that the judgment debtor may claim exemptions and that exempt property cannot be levied upon.

7. I will promptly file an acknowledgment of satisfaction when the judgment is fully paid.

Judgment Creditor/Authorized Representative:

Signature: ________________________________________________________________

Printed Name: _____________________________________________________________

Title (if applicable): ____________________________________________________

Date: ____________________________________________________________________

Attorney Certification (if applicable)

I certify that I am the attorney of record for the judgment creditor and am authorized to request issuance of this writ of execution.

Attorney Signature: _______________________________________________________

Bar Number: _______________________________________________________________

Date: ____________________________________________________________________

COURT ORDER - WRIT OF EXECUTION

[FOR COURT USE ONLY]

THE PEOPLE OF THE STATE OF ____________________

TO THE SHERIFF/MARSHAL OF __________________ COUNTY:

WHEREAS, judgment was entered in the above-entitled action on _____________ in favor of the judgment creditor and against the judgment debtor;

NOW, THEREFORE, you are commanded to satisfy this judgment, with interest and costs, out of the personal/real property of the judgment debtor in your county, and if sufficient personal property cannot be found, then out of the real property belonging to the judgment debtor on the date when the judgment was docketed, or at any time thereafter.

TOTAL AMOUNT DUE: $____________________________________________________

Issued: _______________________________________________________________

Clerk of Court: _______________________________________________________

Deputy Clerk: _________________________________________________________

[COURT SEAL]

WRIT VALIDITY AND RETURN

Writ Valid Until: ______________________________________________________

Return Date: ___________________________________________________________

Levying Officer Instructions:
This writ must be returned to the court within _______ days after its receipt, or after levy, with an endorsed statement of your actions.

CHECKLIST FOR JUDGMENT CREDITOR

Before Filing Writ Request

☐ Verified judgment is final and not stayed
☐ Confirmed no bankruptcy filing by debtor
☐ Calculated accurate balance with interest
☐ Identified specific property for levy
☐ Researched applicable exemptions
☐ Prepared fee deposit

With Writ Request

☐ Original or certified copy of judgment
☐ Abstract of judgment (if real property)
☐ Completed writ application form
☐ Levy instructions to sheriff/marshal
☐ Fee deposit
☐ Proof of prior service on debtor (if required)

After Writ Issued

☐ Deliver writ to levying officer promptly
☐ Provide additional instructions as needed
☐ Monitor levy progress
☐ Respond to any exemption claims
☐ Attend execution sale (if applicable)
☐ File return with court
☐ File partial/full satisfaction when appropriate

This request is submitted pursuant to the applicable rules of civil procedure and execution statutes.