Acknowledgment of Satisfaction of Judgment
(Small Claims)
Judicial Council of California, www.courts.ca.gov
New July 1, 2010, Optional Form
Code of Civil Procedure, § 116.850
I am the (check one):
2
a.
Judgment creditor.
Assignee of record.b.
See instructions on other side.
To the court clerk:
a.
b.
as follows
(check and complete one):
3
was paid or otherwise satisfied on (date):
SC-290
Acknowledgment of
Satisfaction of Judgment
(1) Name:
Mailing address:
Street City
State Zip
(2)
Name:
Mailing address:
Street City
State Zip
(3) Name:
Mailing address:
Street City
State Zip
(4)
Name:
Mailing address:
Street City
State Zip
Fill in the court name and street address:
Superior Court of California, County of
Fill in your case number and case name:
Case Number:
Case Name:
Clerk stamps here when form is filed.
My name is:
1
Mailing address:
Phone:
Judgment creditor or assignee signs here
Type or print your name
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date:
SC-290
The judgment has been fully paid or satisfied as to all
judgment debtors.
The judgment has been fully paid or satisfied as to these judgment
debtors only (names and addresses of judgment debtors who have fully
paid or satisfied judgment):
I acknowledge that the judgment owed to (name):
Use Form SC-290 to acknowledge payment of a small claims judgment if:
• You are the judgment creditor (or assignee), and the judgment debtor has
paid the full judgment (or satisfied it in another way), and
• Form EJ-001, Abstract of Judgment—Civil and Small Claims, has NOT been
recorded for this judgment.
Instructions for Form SC-290, Acknowledgment of Satisfaction of Judgment
Warning to the judgment creditor or person to whom the judgment
has been assigned!
• When a small claims judgment has been fully paid or satisfied, you must file an
Acknowledgment of Satisfaction of Judgment with the small claims court
immediately.
• If the Acknowledgment is not filed within 14 days after the judgment debtor
requests it, you may have to pay the judgment debtor damages and a penalty.
New July 1, 2010
Acknowledgment of Satisfaction of Judgment
(Small Claims)
Use Form EJ-100 to acknowledge payment if:
• Form EJ-001, Abstract of Judgment—Civil and Small Claims, has been recorded.
• The judgment debtor has paid only part of the judgment, or
(This page is not part of the Acknowledgment of Satisfaction of Judgment and does not need to be copied, served,
or filed.)
SC-290
[local info here]
Need help?
For free help, contact your county’s small claims advisor:
?
Or go to “County-Specific Court Information” at www.courtinfo.ca.gov/selfhelp-smallclaims
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