Fresno — PSC-21 Request for Issuance of Clerk's Certificate of Satisfaction of Judgement

Source: https://www.fresno.courts.ca.gov/system/files/psc-21-request-issuance-clerk_s-certificate-satisfaction-j__.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY: FOR COURT USE ONLY

TELEPHONE NO.: FAX NO.:

E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA • COUNTY OF FRESNO Small Claims Department, Central Division 1130 "O" Street Fresno, California 93721-1220 CASE NAME:

REQUEST FOR ISSUANCE OF CLERK’S CERTIFICATE OF CASE NUMBER SATISFACTION OF JUDGMENT/ORDER RE: USE OF COPIES

A. REQUEST FOR ISSUANCE OF CLERK’S CERTIFICATE OF SATISFACTION OF JUDGMENT

1. (Name) , judgment debtor herein, declares that:
a. I have made full payment of the judgment entered on in the above-mentioned
case, including accrued interest and costs.
b. I have made partial payment of the judgment entered on in the above-
mentioned case.
2. a. Amount paid: $ b. Date of payment:

3. a. I have requested that the judgment creditor file an Acknowledgment of Satisfaction of
Judgment and he/she refuses to do so.
b. Judgment creditor refuses to accept subsequent payments.
c. The present address of the judgment creditor is unknown.

4. a. I have attached the following documents as proof of payment:
A canceled check or money order for the full partial amount of the judgment,
written by me after the entry of judgment, made payable to and endorsed by the
judgment creditor.
A cash receipt for the full partial amount of the judgment written by me after
the entry of judgment and signed by the judgment creditor.
Other (specify):

b. (Use if 1b was checked) I have paid to the court clerk the balance owing on the judgment,
including any accrued interest and costs after judgment. (If payment was made by means
other than money order, certified or cashier’s check, or cash, entry of satisfaction of judgment
shall be delayed for 30 days.)
c. The originals of the documents listed in 4a are not available and I have completed item B on
the back of this form.

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

/S/
Date Signature

Attorney for Print Name

PSC-21 R05-22 Request for Issuance of Clerk’s Certificate of Page 1 of 2 OPTIONAL Satisfaction of Judgment/Order RE: Use of Copies

CASE NAME: CASE NUMBER:

B. DECLARATION FOR ORDER RE: USE OF COPIES OF DOCUMENTS

1. The original documents listed in item 4a are not available to me and I request that the court order
the attached copies accepted in lieu of the originals. The original documents are not available to me
for the following reason (specify):

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

Date Signature

Attorney for Print Name

C. ORDER RE: USE OF COPIES OF DOCUMENTS

The Court, having considered the declaration of the judgment creditor above for the use of copies in lieu
of the original documents indicated, and good cause appearing:

It is hereby ordered that the copies of the above-mentioned documents be accepted for use in this case
in lieu of the originals.

/S/
Date Judge of the Superior Court

PSC-21 R05-22 Request for Issuance of Clerk’s Certificate of Page 2 of 2 OPTIONAL Satisfaction of Judgment/Order RE: Use of Copies