Rev. 12/17 1of ORANGE COUNTY SHERIFF’S DEPARTMENT EVICTION INSTRUCTIONS JUDGMENT CREDITOR(S):____________________ ____________________________________________ JUDGMENT DEBTOR(S)(if the judgment debtor is other than a natural person, the type of legal entity must be stated): ___________________________________ ____________________________________________ Total Amount of Judgment (If Any) $________________ The Writ Accompanying These Instructions is: An Original Writ, or a Copy of the Original Writ Issued by the Court as an Electronic Writ, Not Already in Possession of the Levying Officer A Copy of the Original Writ Already in Possession of the Levying Officer COURT CASE NO.: ____________________________ SHERIFF FILE NO.:____________________________ Issue Date of Writ________________ PREJUDGEMENT CLAIM OF RIGHT TO POSSESSION WAS SERVED WITH THE COMPLAINT YES NO If the property address is not clearly displayed on the building or curb, the eviction will not take place, and additional fees will be charged.

Property is a Dwelling YES NO Property is Real Property (Ex. House or Apt) Property is Personal Property (Ex. Mobile Home or Boat) FAILURE TO COMPLETE ANY PART OF THE FORM BELOW MAY RESULT IN DELAY OF THE EVICTION TO ALLOW THE SHERIFF TO EVALUATE SAFETY ISSUES FOR ALL PARTIES To the Orange County Sheriff: Serve Writ of Possession (Sec. 715.010-715.050 C.C.P.) and 5-day notice to vacate. Enforce Writ by removing defendant(

s) from premises. Plaintiff to cover all Sheriff’s fees, costs and expenses in advance. Please contact the following person to

schedule the eviction. The contact person should be the actual person who will be meeting the deputy and not a third party. NAME: _____________________________ Plaintiff or agent must be on site when the eviction is completed.

DAYTIME PHONE NUMBER(S):________________________***BUILDING OR GATE CODE*** ______________ Location/Description of the premises as named in the Writ of Possession: _________________________________________________________________________________________________ Address City Zip _________________________________________________________________________________________________ Printed Name of Plaintiff or Plaintiff’s Attorney Signature _________________________________________________________________________________________________ Plaintiff/Plaintiff’s Attorney Address City Zip Phone Number SEE PAGE OF THIS FORM FOR ADDITIONAL REQUIRED INFORMATION Rev. 12/17 2of ORANGE COUNTY SHERIFF’S DEPARTMENT EVICTION INSTRUCTIONS EVICTION SAFETY ISSUES 1.

Do you know of any illegal activity that may be taking place at this address? Please explain______________ __________________________________________________________________________________________ __________________________________________________________________________________________ 2. Do you know of any police contacts at this address? Please explain ________________________________ __________________________________________________________________________________________ 3.

Please provide additional information on any issues that may pose a threat to a safe eviction process. (i.e. firearms or other weapons, surveillance cameras, previous suicide attempts, vicious animals, alarms, and any other hazards) _________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ DEFENDANT’S INFORMATION FULL NAME: _______________________________ FULL NAME: ________________________________ DATE OF BIRTH: _______________ DATE OF BIRTH: _______________ GENDER: ___________ GENDER: ___________ RACE: ______________ RACE: ______________ CDL: _______________ CDL: _______________ SS#: ________________ SS#: ________________ Please check the appropriate boxes and explain below: ELDERLY FORECLOSURE HUD HOUSING ANIMALS DISABLED MEDICAL PROBLEMS MENTAL ILLNESS ASSAULTIVE LANGUAGE SPOKEN_____________________ CHILDREN (ages)______________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________