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 Ordered:
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. 1 December 2006)
2D-P-269
Page 1 of 2
Writ of Possession Form#2DC54
Reprographics (12/06)
Clear form
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. 244-2800, FAX 244-2849, or TTY 244-2865 at least ten (10) working days before your proceeding, hearing or appointment date.
For all Civil related matters, please call 244-2706 or visit the Service Center at 2145 Main Street, Rm 141A, Wailuku, HI 96793
(Rev. 1 December 2006)
2D-P-269
Page 2 of 2
Writ of Possession Form#2DC54