In the District Court of ________________ County State of Oklahoma _____________________________ vs. _____________________________ ) ) ) ) )
Case No. ___________________
Statement of Judgment State of Oklahoma County of _________________ ) ) )
SS
_________________________________, of lawful age, first being duly sworn, deposes and says: 1. That on the ______ day of ______________________, 20_____, a money judgment was rendered in case number _________________ in District Court of ___________________ County styled as follows: Amount: Judgm ent Costs & Attorney Fees
Against Judgment Debtor
In Favor Of Judgment Creditor
2.
That judgment was filed with the Court Clerk of __________________ County on the _______ day of ____________________, 20______.
3.
That the County Clerk shall enter on the judgment index a statement based on this information, in compliance with 12 O.S. Supp. 1997 ยง 706.
4.
That the name and address of the judgment creditor is: Name Address _______________________________________________ _______________________________________________ _______________________________________________
Further, your affiant sayeth not. Name Title Organization Address ___________________________________________ ___________________________________________ (if any) ___________________________________________ (if any) ___________________________________________ ___________________________________________
Signed and sworn to before me on the ______ day of _______________________, 20_____ by ____________________________.
____________________________________________ Notary Public
My Commission Expires: ______________________________
AOC Form 27a Revised 9/05