Reserved for Court Use Civil No. Defendant(s) Filing Party/Attorney Name, Attorney Name (if applicable), Address, Telephone and Fax Numbers
Premises Address:
Court Date Writ Was Issued:
Effective Date of Writ of Possession:
WRIT OF POSSESSION THE STATE OF HAWAI
Date:
Judge I certify that this is a full, true and correct copy of the original on file in this office. ________________________________________________ Clerk, District Court of the above Circuit, State of Hawai`i
SEE PAGE 2 FOR EXECUTION INFORMATION
(Rev. 31 M ay 2006)
1D-P-805
Page 1 of 2
Clear form
W rit of Possession Form#1D C54
Reprographics (2/07)
I am duly authorized by Hawai`i law to serve this Writ and I executed this Writ on the following person(s): _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ at (location):____________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ on (date): __________________________________________ 20___. Signature of Serving Officer:
Date:
Print/Type Name:
In accordance with state and federal disability laws, if you require an accommodation for a disability when working with a court program, service, or activity, please contact the District Court Administration Office at PHONE NO. 538-5121, FAX 538-5233, or TTY 539-4853 at least ten (10) working days before your proceeding, hearing or appointment date.
For all Civil related matters, please call 538-5151 or visit the District Court Service Center at 1111 Alakea Street, Third (3rd) Floor.
(Rev. 31 M ay 2006)
1D-P-805
Page 2 of 2
W rit of Possession Form#1D C54