San Bernardino — SB-9949

Source: https://sanbernardino.courts.ca.gov/system/files/sb-9949.pdf

COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO

NAME OF SUPERIOR OR JUSTICE COURT DISTRICT OR OF BRANCH COURT, IF ANY FOR COURT USE ONLY

TITLE OF CASE (ABBREVIATED)

NAME, ADDRESS, AND TELEPHONE NUMBER OF SENDER

CASE NUMBER

DECLARATION RE: DEFAULT IN PAYMENTS

The undersigned judgment creditor in the above-entitled action declares:

That judgment was entered against judgment debtor

on for $ ; that the Court ordered the judgment be paid

installments of $ per commencing

That $ has been paid on the judgment;

That the installment due on has not been paid.

THEREFORE, judgment creditor request that execution be issued.

Executed on , at , California.

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

Judgment Creditor

06-9949-301 DECLARATION RE: DEFAULT IN PAYMENTS SB-9949 Rev. 4/81 Optional