Affidavit - Return Of Service For Writ Of Execution - Bank Sweep {CIV-563}

File Stamp AFFIDAVIT ­ RETURN OF SERVICE FOR WRIT OF EXECUTION ­ BANK SWEEP Partial Return Court Location: Case Name: Debtor's Name (list only one): I solemnly swear or affirm that the following facts are true to the best of my knowledge: On in the amount of $ , I personally served the Writ of Execution dated by handing it to and leaving a true and correct copy with the Full Return of Service (Original writ must be attached.) Case No. financial institutions named on page two. Total fees authorized by Administrative Rule 11 and incurred by creditor: 1 Total Service Fees [Rule 11(a)(1)(ii)]: Total Fees for Excess Hours [Rule 11(a)(1)(iii)]: (Total hours to obtain service on all banks: Mileage fee [Rule 11(a)(7)]: Fee for excess mileage [Rule 11(a)(7)]: (Total miles traveled to obtain service on all banks: TOTAL FEES (recoverable from debtor): ) $ ) $ $ $ $ Return Date Signature Print Name , Alaska Subscribed and sworn to or affirmed before me at on . (SEAL) Clerk of Court, Notary Public, or other person authorized to administer oaths. My commission expires Process server notes: 1 Fees may include local taxes but may not exceed the Rule 11 maximums. Civ. R. 79(f)(16) and Adm. R. 11. Page 1 of 2 CIV-563 (8/10)(cs) Civ. Rule 69(f)(3) and Adm. Rule 11 AFFIDAVIT ­ RETURN OF SERVICE FOR WRIT OF EXECUTION ­ BANK SWEEP American LegalNet, Inc. www.FormsWorkFlow.com List of financial institutions served with the writ of execution and fees authorized by Admin. Rule 11 and incurred by creditor for each financial institution served (Note: It is not necessary to list the fees on this page if the process server is not charging a separate fee for each financial institution served.): Name of Financial Institution Served Date on Check Amount Collected Date Received Total Service Fee Hours [Rule to Obtain 11(a)(1)(ii)] Service Fee for Excess Hours [Rule 11(a)(1)(iii)] TOTALS Page 2 of 2 CIV-563 (8/10)(cs) Civ. Rule 69(f)(3) and Adm. Rule 11 AFFIDAVIT ­ RETURN OF SERVICE FOR WRIT OF EXECUTION ­ BANK SWEEP American LegalNet, Inc. www.FormsWorkFlow.com