Financial Disclosure {EMC 111E}

Eric J. Rothgery Clerk of Elyria Municipal Court 601 Broad Street Elyria, OH 44035 __________________________________ __________________________________ __________________________________ Judgment Creditor FINANCIAL DISCLOSURE CASE NO. ____________________ VS. __________________________________ __________________________________ __________________________________ Judgment Debtor Judgment Creditor says that thirty (30) days have passed since Judgment and that same has not been satisfied and requires that the form prescribed by O.R.C. 1925.13 (B) be sent to the Judgment Debtor. ____________________________________ Judgment Creditor's signature The request of the Judgment Creditor is hereby granted. The Clerk of Courts is hereby ordered to send this form to Judgment Debtor. It is hereby ordered that Judgment Debtor complete form and return same to the Court within seven (7) days after receipt thereof. ____________________________________ Judge EMC 111E rev. 3/00 American LegalNet, Inc. www.FormsWorkFlow.com