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Small Claims Declaration Re Default In Payments In Mediated Agreements SC-7018 - California

Small Claims Declaration Re Default In Payments In Mediated Agreements Form. This is a California form and can be used in Small Claims Santa Barbara Local County .
 Fillable pdf Last Modified 8/30/2010
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Choose a location ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF: DEFENDANT: SMALL CLAIMS DECLARATION RE: DEFAULT IN PAYMENTS IN MEDIATED AGREEMENTS The undersigned creditor in the above-entitled action declares: That the settlement was agreed to by debtor (name) and creditor (name) Debtor agreed to pay creditor per and on the (specify day) $ CASE NUMBER: on (date) to be paid by installments of , beginning on (date): day of each month thereafter until paid in full. $ . If any payment is missed, the judgment against debtor shall be entered. That $ That the installment due on the amount owed by debtor is $ THEREFORE, creditor requests that the amount owing become a judgment of the court. Executed on , at , California. has been paid on the settlement amount. has not been paid and . I declare under penalty of perjury that the foregoing is true and correct. Judgment Creditor The Court orders that judgment be entered forthwith against debtor in the amount of $ plus costs in the amount of $ for a total of $ Date: Judicial Officer SC-7018 [New July 26, 2010] SMALL CLAIMS DECLARATION RE: DEFAULT IN PAYMENTS IN MEDIATED AGREEMENTS CCP 116.860 American LegalNet, Inc. www.FormsWorkFlow.com
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