COURT CREDITOR COUNTY .OF. . . . . . . . . . . . . . . . .MAIL .TO .THE.JUDGMENT . . . ......... .. . . DO NOT .FILE. WITH. THE COURT .. .. . . . .... ... : Index No.
JUDGMENT CREDITOR (the person or business who won the case) (name):
JUDGMENT DEBTOR (the person or business who lost the case and owes money) (name): :
SMALL CLAIMS CASE NO.:
AVISO AL DEUDOR POR FALLO JUDICIAL: Usted debe (1) NOTICE TO JUDGMENT DEBTOR: You must (1) pay the : pagar el monto del fallo judicial, o (2) presentar un recurso judgment or (2) appeal or (3) file a motion to vacate. If you de apelación o (3) presentar un recurso de nulidad. Si fail to pay or take one of the other two actions, you must usted no : paga el fallo o presenta uno de estos dos recursos, complete and mail this form to the judgment creditor. If you do deberá llenar y enviar por correo este formulario a su acreedor not, you may have to go to court to answer questions and may Defendant(s) fallo : judicial. Si no lo hace, es posible que deba por have penalties imposed on you by the court. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .presentarse ante la corte para contestar preguntas y pagar las ....... multas que la corte le pueda imponer.
The small claims court OF THE that you owe money YORK THE PEOPLE has ruled STATE OF NEW to the judgment creditor. 1. You may appeal a judgment against you only on the other party's claim. You may not appeal a judgment against you on your claim. TOIf you appeared at the trial and you want to appeal, you must file a Notice of Appeal (form SC-140) within 30 days after the a. date the Notice of Entry of Judgment (form SC-130) was mailed or handed to you by the clerk. b. If you did not appear at the trial, before you can appeal, you must first file a Notice of Motion to Vacate Judgment and Declaration (form SC-135) and pay the required fee within 30 days after the date the Notice of Entry of Judgment was mailed or handed to you. The judgment cannot be collected until the motion is decided. If your motion is denied, you then have 10 GREETINGS: date the notice of denial was mailed to file your appeal. days after the 2. Unless you pay the judgment or appeal the judgment or file a motion to vacate, you must fill out this form and mail it to the person who won the case within 30 days after theand excuses being laid aside, you and or handed to you by the clerk. WE COMMAND YOU, that all business Notice of Entry of Judgment was mailed each of you attend before Mailing this completed form does not stay enforcement of the judgment. the Honorable at the Court 3. If you lose your appeal or motion to vacate, you must pay the judgment, including postjudgment costs and interest. As soon as located at County ofclaims court denies your motion to vacate and the denial is not appealed, or receives the dismissal of your appeal or the small judgment in room from the superior court after appeal, the judgment is no at , on the day of , 20 , longer suspended andthe be immediatelyat any recessed o'clock in may noon, and enforced against you by the judgmentto testify and give evidence as a witness in this action on the part of the creditor. or adjourned date, 4. Unless you have paid the judgment, complete and mail this form to the judgment creditor within 30 days after the date the clerk mails or delivers to you (a) the denial of your motion to vacate, or (b) the dismissal of your appeal, or (c) the judgment against you on your appeal. If you were sued as an individual, skip this box and begin with item 1 below. as a contempt of the applicable box, attach the docuYour failure to comply with this subpoena is punishable Otherwise, check court and will make you liable to ments indicated, and complete item 15 on the reverse. a.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of(Corporation orto comply.or Attached to this formstatement showing that thethe nature, value, and exact location of all your failure partnership) the partners, and a is a statement describing person signing this form is authorized to assets of the corporation
submit this form on behalf of the corporation or partnership.
Witness, Honorable , one representative of the agency stating (Governmental agency) Attached to this form is the statement of an authorized of the Justices of the when the agency will pay the judgment and any reasons for its failure to do so. in County, day of , 20
JUDGMENT DEBTOR'S STATEMENT OF ASSETS
EMPLOYMENT 1. What are your sources of income and occupation? (Provide job title and name of division or office in which you work.) (Attorney must sign above and type name below) 2. a. Name and address of your business or employer (include address of your payroll or human resources department, if different):
Attorney(s) b. If not employed, names and addresses of all sources of income (specify):
3. How often are you paid? daily every two weeks monthly Office and P.O. Address weekly other (explain): twice a month 4. What is your gross pay each pay period? $ 5. What is your take-home pay each pay period? $ 6. If your spouse earns any income, give the name of your spouse, the name and address of the business or employer, job title, and Telephone No.: division or office (specify):
Form Adopted for Mandatory Use Judicial Council of California SC-133 [Rev. January 1, 2004]
Facsimile No.: E-Mail Address: JUDGMENT DEBTOR'S STATEMENT OF ASSETS Mobile Tel. No.:
Page 1 of 2 Code of Civil Procedure, §§ 116.620(a), 116.830
American LegalNet, Inc. www.USCourtForms.com
CASH, BANK DEPOSITS
. 7. How much money do you have in cash? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. How much other money do you have in banks, savings and loans, credit unions, and other financial institutions either in your own name or jointly (list):
Name and address of financial institution Account number Individual or joint?
PROPERTY 9. List all automobiles, other vehicles, and boats owned in your name or jointly:
Make and year License and vehicle identification (VIN) numbers Value
Legal owner if different from registered owner
a. b. c. d. 10. List all real estate owned in your name or jointly:
Address of real estate Fair market value
$ $ $ $
$ $ $ $
OTHER PERSONAL PROPERTY (Do not list household furniture and furnishings, appliances, or clothing.) 11. List anything of value not listed above owned in your name or jointly (continue on attached sheet if necessary):
Description Value Address where property is located
a. b. c. Yes. 12. Is anyone holding assets for you? person or entity holding each asset (specify):
$ $ $ No. If yes, describe the assets and give the name and address of the
13. Have you disposed of or transferred any asset within the last 60 days? Yes. No. address of each person or entity who received any asset and describe each asset (specify):
If yes, give the name and
14. If you are not able to pay the judgment in one lump sum, you may be able to make payment arrangements with the person or business who won the case (the judgment creditor). State the amount that you can pay each month: $ , beginning on (date): . If you are unable to agree, you may also ask the court for permission to make installment payments by filing a Request to Pay Judgment in Installments (form SC-106). 15. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:
(TYPE OR PRINT NAME)
Mail or deliver this completed form to the judgment creditor at the address shown on the Notice of Entry of Judgment form.
SC-133 [Rev. January 1, 2004]
JUDGMENT DEBTOR'S STATEMENT OF ASSETS
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