Free JUDGMENT LIEN AMENDMENT STATEMENT - Florida


File Size: 49.1 kB
Pages: 1
File Format: PDF
State: Florida
Category: Secretary of State
Author: Florida Department of State
Word Count: 362 Words, 3,966 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://form.sunbiz.org/pdf/jlien_amend.pdf

Download JUDGMENT LIEN AMENDMENT STATEMENT ( 49.1 kB)


Preview JUDGMENT LIEN AMENDMENT STATEMENT
JUDGMENT LIEN AMENDMENT STATEMENT
THE FOLLOWING INFORMATION IS SUBMITTED IN ACCORDANCE WITH s. 55.206, FLORDIA STATUES, TO AMEND INFORMATION SHOWN ON THE RECORDS OF THE DEPARTMENT OF STATE. JUDGMENT DEBTOR(S) 1.
JUDGMENT DEBTOR (DEFENDANT) NAME AS SHOWN ON THE RECORDS OF THE DEPARTMENT OF STATE: ___________________________________________________________________________________________________________________ INDIVIDUAL OR BUSINESS ENTITY NAME ___________________________________________________________________________________________________________________ MAILING ADDRESS ___________________________________________________________________________ CITY ADDITIONAL JUDGMENT DEBTOR, IF APPLICABLE: _______________ ST _____________________ ZIP

DO NOT PHOTOCOPY THIS FORM PRIOR TO USE.

BAR CODE MUST BE LEGIBLE.

2.

___________________________________________________________________________________________________________________ INDIVIDUAL OR BUSINESS ENTITY NAME ___________________________________________________________________________________________________________________ MAILING ADDRESS ___________________________________________________________________________ CITY _______________ ST _____________________ ZIP

JUDGMENT CREDITOR(S) 3.
JUDGMENT CREDITOR (PLAINTIFF) NAME AS SHOWN ON THE RECORDS OF THE DEPARTMENT OF STATE: ___________________________________________________________________________________________________________________ CREDITOR NAME(S) ___________________________________________________________________________________________________________________ MAILING ADDRESS ____________________________________________________________________________ CITY ________________ ST ___________________ ZIP

THIS SPACE FOR USE BY FILING OFFICER

4. 6.

__________________________________________________________________
ENTER FILE NUMBER ASSIGNED TO ORIGINAL JUDGMENT LIEN BY DEPARTMENT OF STATE

5.

___________________________________________
DATE JUDGMENT LIEN FILED WITH DEPARTMENT OF STATE

AMENDMENT PARTIAL RELEASE

THE JUDGMENT LIEN BEARING THE FILE NUMBER INDICATED ABOVE IS AMENDED AS SET FORTH BELOW. THE JUDGMENT LIEN BEARING THE FILE NUMBER INDICATED ABOVE HAS BEEN PARTIALLY RELEASED AND THE VALUE OF THE LIEN REMAINING UNPAID AS OF THE DATE OF THIS STATEMENT

$ ____________________.

ASSIGNMENT

ALL OF THE JUDGMENT CREDITOR'S RIGHTS UNDER THE JUDGMENT LIEN CERTIFICATE INDICATED ABOVE HAVE BEEN ASSIGNED TO THE NEW JUDGMENT LIENOWNER WHOSE NAME AND ADDRESS ARE LISTED BELOW. THE JUDGMENT CREDITOR NO LONGER CLAIMS A LIEN ON THE PERSONAL PROPERTY UNDER THE JUDGMENT LIEN BEARING THE NUMBER INDICATED ABOVE.

TERMINATION

7.

SHOW NAME AND ADDRESS OF ASSIGNEE AND/OR AMENDMENT INFORMATION HERE: (ATTACH PAGE, IF NECESSARY)

UNDER PENALTY OF PERJURY, I hereby certify that: (1) All of the information set forth above is true, correct, current and complete; and (2) I have complied with all applicable laws in submitting this Judgment Lien Amendment Statement for filing.
OWNER'S ATTORNEY OR AUTHORIZED REPRESENTATIVE TO WHOM ACKNOWLEDGMENT/CERTIFICATION OF FILING WILL BE MAILED:

____________________________________________________ Signature of Judgment Creditor or Authorized Representative

_____________________________________________________________________________________________________________ NAME

____________________________________________________ Printed Name

_____________________________________________________________________________________________________________ MAILING ADDRESS

NON-REFUNDABLE PROCESSING FEE: JUDGMENT LIEN AMENDMENT STATEMENT $20.00

__________________________________________________________ CITY

______________________ ST

_________________________ ZIP

EACH ATTACHED PAGE, IF NECESSARY

$ 5.00

CERTIFIED COPY REQUESTED $10.00 Division of Corporations P.O. Box 6250 Tallahassee, Fl 32314 850-245-6011 Make Checks Payable to: Florida Department of State
CR2E094 (03/08)