Free Judgment Debtor's Statement - California

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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: CASE NUMBER:

JUDGMENT DEBTOR'S STATEMENT RE: SATISFACTION OF JUDGMENT; ENTRY OF SATISFACTION OF JUDGMENT

I, THE UNDERSIGNED, SAY THAT: 1. The judgment creditor in this action has been paid in full for the amount of judgment and costs; 2. The judgment creditor has been requested to file an acknowledgment of satisfaction of judgment and refuses to do so, or the present address of the judgment creditor is unknown; 3. The document(s) attached constitute evidence of receipt of this payment. I declare under penalty of perjury that the foregoing is true and correct. Executed on _______________________ at _______________________, California. _____________________________________ Print Name ______________________________________ Signature

ENTRY OF SATISFACTION OF JUDGMENT The above-named judgment debtor filed a canceled check or money order written subsequent to the judgment by the judgment debtor for the full amount of the judgment plus costs, which was made payable to and endorsed by the judgment creditor, or the judgment debtor filed a cash receipt written subsequent to the judgment for the full amount of the judgment plus costs and signed by the judgment creditor. Satisfaction of judgment is hereby ordered entered on _______________ by Dated: ___________________ Clerk Judicial Officer

Gary M. Blair, Executive Officer By _________________________, Deputy _________________________________ Judicial Officer of the Superior Court
CCP 116.850, 724.050(d)

SC-2020 [Rev. April 21, 2003]

JUDGMENT DEBTOR'S STATEMENT RE: SATISFACTION OF JUDGMENT; ENTRY OF SATISFACTION OF JUDGMENT
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