Riverside — Bank Account Levy Instructions Example (PDF)

Source: https://www.riversidesheriff.org/DocumentCenter/View/157/Bank-Account-Levy-Instructions-Example-PDF

EXAMPLE DATA - DO NOT SUBMIT

(Bank Account Levy)

INSTRUCTIONS TO THE SHERIFF OF THE COUNTY OF RIVERSIDE The Sheriff must have written, signed, instructions by the attorney for the creditor, or the creditor if he/she has no attorney in accordance with CCP 262; 687.010. www.riversidesheriff.org

Court Services Central Court Services East Court Services West
30755-D Auld Rd., Ste. L067 46200 Oasis St., Rm B15 4095 Lemon St., 4th Floor
Murrieta, CA 92563 Indio, CA 92201 Riverside, CA 92501
951-304-5050 FAX 951-304-5066 760-863-8255 FAX 760-863-8919 951-955-2420 FAX 951-955-6155

John Doe Mary Doe VS
Plaintiff Defendant
JXC1022887
Court Case Number Levying Officer File Number

Provide the original writ and four photocopies of the original writ, together with appropriate fees.
Please type or print legibly.

1. Name(s) of the judgment debtor(s) whose property is subject to this levy:
Mary Doe

2. Judgment debtor’s last known address
1 Dove Street, Riverside, CA 92501

3. Name and address of the bank or financial institution:
3 Lime Street, Riverside, CA 92501

4. In order to assist the financial institution in identifying and locating the account(s) to be levied
upon, please provide a description of the account(s) in the space below. Include any account
number and judgment debtor’s social security number (if known):
Any and all accounts including but not limited to account #000000000

5. If the account also names, lists or includes a person other than the judgment debtor, provide
the name and address of the third person(s):
List 3rd person if applicable. Otherwise list N/A

6. List the total of all credits or partial satisfactions you have received from the judgment debtor
if applicable after the writ was issued: $.

All communications, refunds, and collections will be made to the name and address listed below:

Signature of attorney (or party without an attorney) Date

John Doe
Print name of attorney (or party without an attorney)

2 Kay Street, Riverside, CA 92501
Address of attorney (or party without an attorney) Number, Street, City, State, ZIP Code

951-222-2222
Telephone Number Cell Number
johndoe@gmail.com
E-Mail Address FAX Number

RSD Form 800b (Rev 06/04)