San Bernardino — SB-12

Source: https://sanbernardino.courts.ca.gov/system/files/sb-12fillable.pdf

Attorney or Party Without An Attorney (Name, State Bar No. & Address) For Court Use Only

Telephone No. Attorney for:

Superior Court of California, County of San Bernardino

Petitioner:

Respondent:

DECLARATION AND ORDER FOR ISSUANCE OF WRIT OF CASE NUMBER EXECUTION/ABSTRACT OF JUDGMENT

-BLACK INK ONLY –

I, , say:

That declarant is

in the above entitled action; that the following (judgment) (order) was made, and entered:

SB-12 Rev.05/2013

(Where payments accrue at different times, fill in data below; in other cases, strike out inapplicable portions.) Failure to claim interest shall be deemed a waiver thereof.

That the payments accrued and interest thereon, and the payments made and interest thereon, are as follows:

ACCRUALS PAYMENTS BALANCE DUE

DATE DUE AMOUNT INTEREST DATE PAID AMOUNT INTEREST

That there is actually due on said order the sum of $ principal, $ costs, $ Attorney fees and $ interest, for which sum affiant prays that a Writ of Execution / Abstract of Judgment issue in favor of to _____________________________________________. County

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

Executed on at , California.

---

Signature

ORDER FOR ISSUANCE OF WRIT OF EXECUTION/ABSTRACT OF JUDGMENT

Upon reading the declaration of and good cause Appearing therefore, it is ordered that a Writ of Execution/Abstract of Judgment issue is the sum of $ , principal; $ , costs; $ , attorney fees; and $ , interest; in favor of

to ______________________________________ County Dated ___________________________________ ____________________________________ Judge/Commissioner

SB-12 Rev.05/2013