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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:
SMALL CLAIMS DECLARATION RE: DEFAULT IN PAYMENTS
The undersigned judgment creditor in the above-entitled action declares: That the judgment was entered against judgment debtor ___________________________________ ________________________________________________________________________________ on _________________________ for $___________________; that the Court ordered the judgment be paid by installments of $_______________________ per _______________________________, begining on (date): ________________________________________________________________ and on the (specify day) ___________________ day of each month thereafter until paid in full. If any payment is missed, the entire balance may become due immediately. That $_________________________________________________ has been paid on the judgment: That the installment due on __________________________________________ has not been paid. THEREFORE, judgment creditor requests that execution be issued.
Executed on _______________________, at __________________________________, California. I declare under penalty of perjury that the foregoing is true and correct. _____________________________________
Judgment Creditor
SC-7009 [Rev. July 1, 1999]
SMALL CLAIMS DECLARATION RE: DEFAULT IN PAYMENTS
CCP 116.620, 116.860
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