Santa Barbara — SC-7018

Santa Barbara — SC-7018¶

Choose a location Print Form Clear Form

ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

PLAINTIFF:

DEFENDANT:

SMALL CLAIMS DECLARATION RE: DEFAULT IN CASE NUMBER:
PAYMENTS IN MEDIATED AGREEMENTS

The undersigned creditor in the above-entitled action declares:

That the settlement was agreed to by debtor (name)

and creditor (name) on (date) .

Debtor agreed to pay creditor $ to be paid by installments of $

per , beginning on (date):

and on the (specify day) day of each month thereafter until paid in full.

If any payment is missed, the judgment against debtor shall be entered.

That $ has been paid on the settlement amount.

That the installment due on has not been paid and

the amount owed by debtor is $ .

THEREFORE, creditor requests that the amount owing become a judgment of the court.

Executed on , at , California.

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

Judgment Creditor

The Court orders that dismissal is set aside; judgment be entered forthwith against debtor in the amount of

$ plus costs in the amount of $

for a total of $ .

Date: Judicial Officer

SC-7018 [Rev. Feb. 5, 2014] SMALL CLAIMS DECLARATION RE: DEFAULT IN CCP 116.860 PAYMENTS IN MEDIATED AGREEMENTS Print Form Clear Form