Rev. 12/17 1of 2
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 2 OF THIS FORM FOR ADDITIONAL REQUIRED INFORMATION
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Rev. 12/17 2of 2
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)______________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
OCSD5 (Rev 01/14)
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