San Diego — Declaration of Default Re: Stipulated Agreement and Judgment Thereon CIV-243 (Rev: 5/17)

Source: https://www.sdcourt.ca.gov/sites/default/files/sdcourt/generalinformation/forms/civilforms/civ243.pdf

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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: FAX NO.(Optional):

EMAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, SMALL CLAIMS, 330 W. BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, CIVIL, 330 W. BROADWAY, ROOM 225, SAN DIEGO, CA 92101 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081

PLAINTIFF(S)

DEFENDANT(S)

DECLARATION OF DEFAULT RE: STIPULATED AGREEMENT CASE NUMBER
AND JUDGMENT THEREON

The undersigned states that on , a Stipulated Agreement was entered into by

. The Stipulated Agreement was as follows:

1. Plaintiff Defendant has failed to comply with the terms of the Stipulated Agreement signed by both parties.

2. Plaintiff Defendant hereby requests that the dismissal be set aside and judgment be entered in favor of the

   Plaintiff Defendant as follows:

   $ Stipulated amount (not including court costs)

   $ Costs of filing and service*

   $ Attorney fees

   $ Interest

   $ ( ) Less payments received

   $ Total

3. Possession of the premises located at .

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date: Signature of Declarant

NOTE: If this is a Small Claims case, you must attach the original contract, check, or documents to support your claim. FOR COURT USE ONLY

• REIMBURSEMENT FOR WAIVED COSTS

  Plaintiff(s) Defendant(s)

  to pay costs of $ to the San Diego Superior Court to pay costs of $ to the San Diego County Sheriff.

Pursuant to Gov. Code § 68637(b)(1), the court may refuse to enter satisfaction of judgment until the order requiring payment of waived fees and costs has been satisfied.

IT IS SO ORDERED.

Date: Judge/Commissioner of the Superior Court

SDSC CIV-243 (Rev. 5/17) DECLARATION OF DEFAULT RE: STIPULATED AGREEMENT Mandatory Form AND JUDGMENT THEREON Clear This Form