Santa Cruz — SUPSC-013

Source: https://www.santacruz.courts.ca.gov/sites/default/files/pdfs/POST%20%28WEB%29%20SUPSC%20013%20Declaration%20of%20Jud%20Debtor%20and%20Reqest%20to%20Enter%20Sat%20of%20Judg%20%282%29.pdf

SUPSC 013 ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY NAME: ADDRESS: CITY, STATE, ZIP:

TELEPHONE NO: FAX NO. (Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ Watsonville Branch 1 Second Street, Room 300 Watsonville, CA 95076 PLAINTIFF/PETITIONER: vs. DEFENDANT/RESPONDENT:

CASE NUMBER:

DECLARATION OF JUDGMENT DEBTOR AND REQUEST TO ENTER SATISFACTION OF JUDGMENT

I, the undersigned Judgment Debtor in the above entitled action declare:

1. Judgment was entered against me on (date) in the amount of $ .
2. I have satisfied the judgment as follows (state when and how paid –check, money order, cash, etc.):

---

---

3. Proof of Payment is attached. Number of pages attached .

4. On (date) , I requested that the Judgment Creditor file an Acknowledgment of Satisfaction of Judgment (if not, explain attempts to contact Creditor):

5. Therefore, I request that the Clerk of the Court enter Satisfaction of Judgment pursuant to Code of Civil Procedure § 116.850(c). On the date indicated below, I am mailing a copy of this Declaration to the Judgment Creditor at the following current or last known address (Creditor Name and Address):

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

Date: _____________________________

____________________________________ SIGN Print your name Sign here

Form Adopted for OPTIONAL USE DECLARATION OF JUDGMENT DEBTOR Page 1 of 1 Superior Court of Santa Cruz County AND REQUEST TO ENTER SATISFATION SUPSC 013 01/17/20 OF JUDGMENT