Free Small Claims Default Judgment - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT Small Claims Division - P.O. Box 12869, Salem, OR 97309 _________________________________, Plaintiff, vs. ) ) ) ) _________________________________, ) ) __________________________________, ) Defendant(s). ) SMALL CLAIMS JUDGMENT LIMITED GENERAL Case No. _________________________

Based on Plaintiff's Request for Default Judgment, and the Court finding Defendant was properly served and failed to pay the claim or demand a hearing within the time allowed for that purpose, the Court hereby enters Judgment in favor of Plaintiff and against Defendant. MONEY AWARD* 1. Judgment Creditor: _________________________________________________________________
Name(s)/Address

2. Judgment Debtor(s). Information for any additional debtor(s) is provided in attachments and incorporated herein by reference.

3a. Name: _______________________________ 3b. Name:_________________________________ 4. Money award of $____________________ 5. Prejudgment interest amount or rate: _____________ 6. Post judgment interest information: 9% per annum other: _______________________________ 7. Other, per ORS 18.042(2)(g): __________________________________________________________ 8. Costs and service expenses of $_________________________ 9. Prevailing party fee of $ 85.00 Total Money Award: $_________________________________________________________________ DATED: ________________ ________________________________________________ Circuit Court Judge / Deputy Court Administrator ________________________________________________ Print, Type or Stamp Name of Judge
*NOTICE TO PLAINTIFF: Additional information in the judgment may be required to achieve judgment lien status (for money awards $3,000 and over, not including costs and disbursements). A long form for this purpose is available from the court. Consult with an attorney for further advice regarding judgment liens.

SMALL CLAIMS JUDGMENT ­ Page 1 of 1

FC (1/30/09)