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Rule 152.01-152h Request for Execution

Forms for Small Claims Division

REQUEST FOR EXECUTION

STATE OF REQUEST FOR EXECUTION Case Number

MISSOURI

SMALL CLAIMS COURT

IN THE CIRCUIT COURT OF _____________________COUNTY, ______________________ DIVISION AT _____________________________________________________, MISSOURI

________________________________________________________________________________________

PLAINTIFF(S)

VS.

DEFENDANT(S)

Please issue execution and garnishment in the above case.

Judgment was for ______________________ and against ________________________________________ on

_________________________, 19____, in the sum of $ ______________ plus costs, and there is $ _________ still due and owing on that judgment.

Plaintiff/defendant is employed at _______________________________________________________, located

at ____________________________________________________________________________________.

Plaintiff/defendant has a bank account/savings account in his/her/their name at _____________________________

and/or at ___________________________________________________________________savings and loan,

located at ______________________________________________________________________________.

_________________________________

Signature of Judgment Creditor

_______________________________________________________________________________________

(Form adopted Feb. 11, 1987, eff. Jan. 1, 1988.)