Mendocino — MUD-103

Source: https://www.mendocino.courts.ca.gov/system/files/forms-and-filings/mud-103.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) For Court Use Only

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO

UKIAH Courthouse TEN MILE Branch Court
100 North State Street 700 South Franklin Street
Ukiah, CA 95482 Fort Bragg, CA

PETITIONER/PLAINTIFF: Case Number:

RESPONDENT/DEFENDANT:

HEARING DATE:

NOTICED REQUEST FOR ENTRY OF JUDGMENT PURSUANT TO DEFAULT AND SUPPORTING DECLARATION HEARING TIME:

(Unlawful Detainer) DEPARTMENT:

I, , request that the court issue a judgment for writ of possession and/or money judgment, to be executed forthwith, for the reasons stated below:

1. I am the owner of (address) .

2. On the hearing date for this unlawful detainer, (date) , the parties signed a settlement agreement in this matter. Settlement agreement is attached.

3. In the agreement, Defendant(s) agreed to pay me (amount, if applicable) $ .

4. Defendant(s) agreed to vacate the premises no later than (date) .

5. Defendant(s) (names) defaulted on the agreement as
   follows:

   .

6. Defendant(s) were notified of this request as follows: .

7. Plaintiff requests judgment for immediate possession of the premises, and if applicable, a

   money judgment for $ pursuant to the stipulated agreement and the default as stated above.

8. I understand that I must supply the court clerk with a self-addressed envelope in order to be sent a

   copy of the signed judgment.

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

Date:

Print name Sign name

MUD-103 (rev 0525)