Michigan > Statewide > Small Claims
Affidavit Of Judgment Debtor DC 87 - Michigan
| Affidavit Of Judgment Debtor Form. This is a Michigan form and can be used in Small Claims Statewide . |
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Affidavit of Judgment Debtor (Form DC 87) American LegalNet, Inc. www.USCourtForms.com Approved, SCAO Original - Court 1st copy - Plaintiff 2nd copy - Defendant STATE OF MICHIGAN JUDICIAL DISTRICT Court address Plaintiff's name and address CASE NO. AFFIDAVIT OF JUDGMENT DEBTOR Court telephone no. Defendant's name and address v I swear that 1. I am a party in this case. 2. A judgment was entered against me in the amount of $ 3. The following is a true statement of my assets and financial obligations. IDENTIFICATION Telephone no. Employer Address Net earnings Address Birth date . City, state, zip SSN (last 4 digits) Driver license no. Employer telephone no. City, state, zip Payday Account no. INCOME $ Weekly Account no. Bi-weekly Savings Monthly $ ASSETS $ Checking Name of bank or financial institution Year Make Leinholder Address Owed Branch location License plate no. Registered to: City, state, zip Name of mortgage holder or landlord Approximate value Automobile $ Amount owed $ Home $ $ $ $ Own $ Rent Value Monthly payment Total money owed to you Amount Amount $ Specify below each amount of money owed to you, the due date, and the name of the individual, business, etc. who owes you money Due date Due date Name who owes money Name who owes money (List additional assets on reverse side) I swear under penalties of perjury that this information is true, accurate, and complete. Date Signature Date Subscribed and sworn to before me on My commission expires: , Signature: County Michigan. Deputy court clerk/Notary public Notary public, State of Michigan, County of AFFIDAVIT OF JUDGMENT DEBTOR DC 87 (6/05) American LegalNet, Inc. www.USCourtForms.com Approved, SCAO Original - Court 1st copy - Plaintiff 2nd copy - Defendant STATE OF MICHIGAN JUDICIAL DISTRICT CASE NO. AFFIDAVIT OF JUDGMENT DEBTOR Plaintiff's name and address v Defendant's name and address Other Assets: (continued) DC 87 (6/05) AFFIDAVIT OF JUDGMENT DEBTOR American LegalNet, Inc. www.USCourtForms.com
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