12819 – Execution of Residential Warrant of Removal – Appendix XI-G (4) -New Jersey

The document titled “12819 – Execution of Residential Warrant of Removal – Appendix XI-G (4)” is a legal form used in the state of New Jersey. It authorizes a Special Civil Part Officer to evict residential tenants and place the landlord in full possession of the premises. The form includes sections for documenting the execution details, such as the method of service, date, and time of the warrant execution, and charges for services rendered. It also contains a notice to law enforcement officers about the rights of tenants who are evicted without a warrant. The form is bilingual, with the Spanish translation beginning on page 3. The document was last revised on July 1, 2022.

This guide will help you complete this form for the Superior Court of New Jersey, Law Division, Special Civil Part, Landlord/Tenant Section. Follow the steps below to ensure the form is filled out correctly.

Section 1: Case Information

• Docket No.: Write the docket number assigned to your case by the court.
• Court Address:
  • 1st Line: Enter the address of the court where the case is filed.
  • 2nd Line: Include additional address information if needed.

Section 2: Parties Involved

• Plaintiff’s Name (Landlord): Enter the full name of the landlord or plaintiff.
• Defendant’s Name (Tenant): Enter the full name of the tenant or defendant.
• Plaintiff’s Address: Write the landlord’s address.
• Defendant’s Address: Write the tenant’s address, including city and ZIP code.
• Plaintiff’s Phone Number: Provide the landlord’s contact number.
• Defendant’s Phone Number: Provide the tenant’s contact number.

Section 3: Warrant Execution Details

• To: Name of Special Civil Part Officer: Write the name of the officer responsible for executing the warrant.
• Method of Service: Indicate how the warrant will be served to the tenant (e.g., in person, by mail).
• Date First Served: Write the date when the warrant was first served to the tenant.
• If Unserved, Why: If the warrant was not served, explain the reason.
• Must Vacate By: Enter the date by which the tenant must vacate the premises.
• Date and Time Executed: Provide the date and time when the warrant was executed.
• Date Executed Warrant Posted: Write the date when the executed warrant was posted.
• Date Executed Warrant Served on Tenant: Enter the date when the executed warrant was served to the tenant.
• Date Executed Warrant Served on Landlord: Enter the date when the executed warrant was served to the landlord.

Section 4: Service Charges

• Service Charge for Execution: Indicate the amount charged for executing the warrant.
• Additional Services Charge: List any additional charges for other services performed.
• Additional Services Performed: Describe any additional services performed during the execution of the warrant.

Section 5: Certification

• Signature of Special Civil Part Officer: The executing officer must sign here.
• Printed or Typed Name of Special Civil Part Officer: The officer should print or type their name here.

Spanish Translation (Sección en Español)

For Spanish-speaking individuals, the form includes a translated section starting on page 3. The instructions are similar, with the Spanish equivalent of each section and field.

Additional Notes

• Law Enforcement Officers: This form includes a notice to law enforcement officers regarding the re-entry rights of tenants evicted without a warrant.
• Revised Date: Ensure you are using the form revised on 07/01/2022 (CN 12819).

By following these steps, you can accurately complete the “Execution of Residential Warrant of Removal” form. If you have any questions or need further assistance, contact the court or a legal professional.