Fill and Sign the State of North Carolina File No Form

STATE OF NORTH CAROLINA File No. Assistant CSC Clerk Of Superior Court Signature To The Sheriff Of County: (Check this block only when order based on default on security agreement.) This Order expires sixty (60) days after it is issued if it has not been served. The plaintiff is entitled to immediate possession of the property described in the affidavit or listed below if different. You are ORDERED to take the described property from the def endant and deliver it to the plaintiff after you have been satisfied that the plaintiff has executed a sufficient bo nd. Signature Of Plaintiff (Principal) Signature Of Surety 2 $ Signature Of Surety 1 Amount Of Bond Address Of Surety 1 Address Of Surety 2 AFFIDAVIT OF SURETY, G.S. 1-477 PLAINTIFF'S BOND, G.S. 1-475 I, as principal, and the undersigned surety do acknowledge ourselves bound in the amount indicated below, for the return of the property to the defendant, with damages for it s deterioration and detention, if such return is made. If for any cause return cannot be made, payment shall be made to the de fendant of such sum as may be recovered against me for the value of the property at the time of the seizure, with interest thereon as damages for the seizure and detentio n. County In Which Order To Be Served Property If Different Than Described In Affidavit Date (Over)Superior Court Division ORDER OF SEIZURE IN CLAIM AND DELIVERY County VERSUS G.S. 1-474, -475, -477 Film No.In The General Court Of Justice District The undersigned surety, being first duly sworn says that he/ she is a resident of the State of North Carolina, and is worth the amount of the bond, over and above all liabilitie s and exemptions allowed by law. SHERIFF'S APPROVAL Signature Of Sheriff SWORN AND SUBSCRIBED TO BEFORE ME Signature Signature Of Surety 1 Signature Of Surety 2 SEAL Name Of Plaintiff Name And Address Of Defendant Date Title Of Person Authorized To Administer Oaths Date Commission Expires Date Bond Approved Name Of Surety 2 (Type Or Print) Name Of Surety 1 (Type Or Print) AOC-CV-203, Rev. 3/98 © 1998 Administrative Office of the Courts Paid By Date Of Return By delivering to the defendant personally a copy of the affidavit, bond and Order of Seizure, and by taking from the defendant the personal property described below. By delivering a copy of the affidavit, bond and Order of Seizure at the dwelling house or usual place of abode of the above named defendant with a person of suitable age an d discretion then residing therein, and by taking the personal property described below: After holding the property for three (3) days, the def endant has not filed a bond with me, and I have delive red the property to the plaintiff on his/her bond, which was ap proved by me. The defendant executed a good and sufficient bond as re quired by law, and the property was delivered back to the defendant. Other manner of service (specify) The property WAS NOT seized for the following reason: RETURN OF SERVICE I certify that this Order was received and served as follows: $ AOC-CV-203, Side Two, Rev. 3/98 © 1998 Administrative Office of the Courts Name Of Defendant Name And Address Of Person With Whom Copies Left Description Of Property Seized: Deputy Sheriff Making Return County Name Of Sheriff Date Served Service Fee Paid Date Received