The distress warrant may be in the following form:

State of Missouri, ss.

The state of Missouri to the ______ of the county of ______, greeting: Whereas, ______, the collector of revenue of the county of ______ aforesaid, for the year of our Lord two thousand and ______, hath failed and neglected to pay to the director of revenue the full amount with which he stands charged on the books of the director of revenue of the state of Missouri, and which he ought to have paid to the director of revenue aforesaid, on or before the ______ day of ______, in the year of our Lord two thousand and ______; and whereas, the director of revenue of the state of Missouri has ascertained the balance due the state of Missouri by said ______ to be the sum of ______ dollars and ______ cents and the said director of revenue has, according to law, charged the said ______, as aforesaid, with the further sum of two and a half percent a month on said ascertained balance as aforesaid, to be computed on said balance from the said ______ day of ______, two thousand and ______, until the same shall be paid or collected: These are, therefore, to command you, in accordance with the provisions of chapter ______, to levy and collect the sum of ______ dollars and ______ cents, the balance as aforesaid, ascertained to be due, and the said two and a half percent a month from the ______ day of ______, two thousand and ______, aforesaid, of the goods and chattels and real estate of the said ______, and for want of sufficient goods and chattels and real estate to satisfy the aforesaid balance, together with the said percent thereon, and the fees to the officer collecting the same, you are commanded to levy the same upon the goods and chattels and real estate of ______, the sureties of the said ______; you are also commanded, that after you have made such levy and collection, you pay the same to the director of revenue within thirty days after its collection, unless the first Monday of March next following the date of this warrant shall intervene, and, in that event, then on or before that day, and return this warrant to the office of the director of revenue, and certify thereon how you have executed the same. In testimony whereof, I, ______, director of revenue, have hereunto set my hand and affixed the seal of the department of revenue, in the City of Jefferson, this ______ day of ______, in the year of our Lord two thousand and ______