San Bernardino — SB-8338

Source: https://sanbernardino.courts.ca.gov/system/files/forms-filing/sb-8338.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY For Court Use Only STATE BAR NUMBER:NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO. (Optional): ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO

STREET ADDRESS

MAILING ADDRESS

CITY AND ZIP CODE

BRANCH NAME

PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT:

JUDGMENT ON SISTER-STATE JUDGMENT CASE NUMBER:

I hereby certify that the judgment on sister-state judgment is not based upon a law of another state that authorizes a
person to bring a civil action against a person or entity that (1) receives or seeks an abortion; (2) performs, provides, or
induces an abortion; (3) knowingly engages in conduct that aids or abets the performance, provision or induces an abortion;
or (4) attempts or intends to engage in the conduct described in items (1) through (3). (H&S § 123467.5)

I declare under penalty of perjury under the laws of the State of California the information above is true and correct.

Date:

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(Type or Print Name) (Signature of Judgment Creditor or Attorney)

Pursuant to the Code of Civil Procedure, Section 1710.25, and based on the Application for Entry of Judgment on Sister- State Judgment filed herein by:

(Name of judgment creditor)

Judgment Creditor(s), judgment is entered in favor of said Judgment Creditor(s) and against:

(Name of judgment debtor)

Judgment Debtor(s), in the sum of $

(To be completed by clerk)

CLERK OF THE SUPERIOR COURT

Date: Clerk, by , Deputy

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JUDGMENT ON SISTER-STATE JUDGMENT

Form Approved for Mandatory Use Form # SB-8338 Rev. 1/01/25