Vendor Form (Execution) {SH-0529}

NYC Department of Finance l Office of the Sheriff Law Enforcement Bureau ___________________________________ COURT VENDOR FORM _____________________________ COUNTY ______________________________________________ Judgment Creditor ______________________________________________ Judgment Debtor AGAINST Sheriff's Case #: ______________ Index #: ______________________ I further understand that I may select any mover/storage facility duly licensed by Consumer Affairs and the Department of Transportation and adequately insured; or any licensed private security guard service that is adequately insured; or licensed locksmith, or any vendor needed by the Sheriff Dated ___________________, 20_____ _________________________________ Signature (Plaintiff / Plaintiff s Attorney) I understand that the execution of the court process issued in the above referenced action will require the services of a mover/storage facility, private security guard service, locksmith, or other private vendor needed by the Sheriff. Visit Finance at nyc.gov/finance ____________________________________ Vendor's License Number ____________________________________ Vendor's Address ____________________________________ Vendor's Name q Mover/Storage I hereby elect to select the necessary vendor who will proceed upon the Sheriffs directions, and I will be fully responsible for the costs thereof. Select one vendor per form below. (Copy as needed) _________________________________ Print name signed above q Guard Service q Locksmith ____________________________________ Date SH-0529 American LegalNet, Inc. www.FormsWorkFlow.com ____________________________________ Print Name Signed Above ____________________________________ Signature (Plaintiff / Plaintiff's Attorney) q Other:________________________ 3.25.14