California > Local County > Los Angeles > Small Claims

Declaration Of Judgment Debtor Regarding Satisfaction Of Judgment (Small Claims) SCLA003 - California

Declaration Of Judgment Debtor Regarding Satisfaction Of Judgment (Small Claims) Form. This is a California form and can be used in Small Claims Los Angeles Local County .
 Fillable pdf Last Modified 12/23/2009
Get this form for FREE as a print-only pdf

NAME, ADDRESS, AND TELEPHONE NUMBER OF PARTY: RESERVED FOR CLERK'S FILE STAMP SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: PLAINTIFF: DEFENDANT: DECLARATION OF JUDGMENT DEBTOR REGARDING SATISFACTION OF JUDGMENT (SMALL CLAIMS) CASE NUMBER: 1. I am the judgment debtor in this case. 2. Judgment was entered against me on _____________________. 3. I have satisfied (paid) the judgment, as follows: Fully, including accrued interest, costs and administrative fees, if applicable. Partially in the amount of $____________. The judgment creditor refuses to accept any more payments. 4. I have requested that the judgment creditor file an acknowledgment of satisfaction of judgment. I made my request orally in writing on (date) ___________. As of the date of this declaration, the judgment creditor has failed or refused to comply with my request. I have been unable to contact the judgment creditor because his/her present address is unknown. 5. I have served by mail a copy of this Declaration of Judgment Debtor at the judgment creditor's last known address as follows: ___________________________________________________. 6. The following document(s), which constitutes evidence of full partial payment of the judgment is attached: Cancelled check money order written by me after judgment and made payable to, and endorsed by, the judgment creditor. Cash receipt for the amount paid, signed by the judgment creditor. Other: _______________________________________. I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct. DATE TYPE OR PRINT JUDGMENT DEBTOR'S NAME SIGNATURE OF JUDGMENT DEBTOR NOTE: THIS DOCUMENT IS NOT INTENDED FOR USE BY THE COUNTY RECORDER'S OFFICE. CLERK'S NOTATION OF ENTRY OF SATISFACTION Satisfaction of judgment entered in register of action pursuant to Code of Civil Procedure, section 116.850, subdivision (c), as follows: Full satisfaction. Partial satisfaction in the amount of $_________________________. Clerk's Certificate of Satisfaction of Judgment (LACIV 040) issued. John A. Clarke, Executive Officer/Clerk Date: SCLA 003 (New) LASC Approved 12-08 By: ___________________________, Deputy DECLARATION OF JUDGMENT DEBTOR REGARDING SATISFACTION OF JUDGMENT (SMALL CLAIMS) Code Civ. Proc., ยง 116.850(c) American LegalNet, Inc. www.FormsWorkFlow.com
Link/Embed this Document
URL
Embed


Popular Searches

  1. lien
  2. statement of claim
  3. continuance
  4. name change
  5. settlement
  6. modification of child support
  7. adoption
  8. claim of exemption
  9. motion to vacate
  10. Unlawful Detainer

Bookmark and Share