100-00502 Writ of Execution (09/2008) Page 1 of 2
STATE OF VERMONT
SUPERIOR COURT
Unit
CIVIL DIVISION
Docket No.:
To any Sheriff or Constable within the State
Plaintiff Name, Address & Phone Number
vs.
Defendant Name, Address & Phone Number
WRIT OF EXECUTION
1. On (date) _______________, the Plaintiff recovered judgment in the county and court named above against
Defendant in this action in the amount of:
Damages: $ _______________
Interest: $ _______________
Costs: $ _______________
Attorney Fees $ _______________
Judgment: $ _______________
2. This paragraph is applicable only if there has been post-judgment activity,
either a partial payment
OR the accumulation of post-judgment sheriff’s costs.
a. Since judgment, costs and interest have accrued as follows:
Sheriff Fees: $ _______________
Filing Fees: $ _______________
Interest: $ _______________
b. On (date) _______________, the Defendant partially satisfied this
judgment by paying Partial Payment: $ _______________
c. Therefore, the balance due Plaintiff as of the date this writ was issued
Balance Still Due Plaintiff $ _______________
3. Execution remains to be done. Therefore, by the authority of the State of Vermont, you are hereby
commanded that of the goods, chattels, or lands of said Defendant, within your precinct, you cause to be
paid and satisfied unto the said Plaintiff at the value thereof in money the balance of the judgment
together with $_____________ interest per day from the date of judgment or date of partial payment to
and including the date of satisfaction, and therefore also satisfy yourself of your own fees, and make
return of this writ with your doings thereon within 60 days from the date hereof.
__________________________ _____________________________________________
Date Clerk
Endorsement of Attorneys of Record by Clerk (12 V.S.A. § 2682)
__________________________ _____________________________________________
Date Returned to Court Attorney for Plaintiff
______________________________________________
Attorney for Defendant
100-00502 Writ of Execution (09/2008) Page 2 of 2
RETURN OF SERVICE
STATE OF VERMONT
CIVIL DIVISION
SUPERIOR COURT
Unit
Docket No.
Vs.
Defendant Name
At
Street
Town/City
County
Date
I visited the above-named Defendant and demanded payment of the judgment;
$ _______________
$ _______________
$ _______________
$ _______________
$ _______________
$ _______________
$ _______________
$ _______________
Miles __________ X $0_____ per mile:
Service Fee:
Postage:
Assisting Officer:
Other:
Bill of Fees:
Interest from #3 Above
Balance from #1 or #2 Above
Total Due $ _______________
The above-named Defendant failed to satisfy satisfied
said execution in full by paying in part by paying $ _______________
Outstanding Balance $ _______________
Comments:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
I returned the original Writ of Execution to the above-named Plaintiff/Court of Issue:
$ Amount Check No.
Date
Officer’s Name, Title and Agency
Officer’s Signature