100-00279 – Motion for a Financial Disclosure Hearing – Small Claims (12/2002) Page 1 of 1
SUPERIOR COURT
CIVIL DIVISION
Docket No.:
MOTIO
N FOR A FINANCIAL DISCLOSURE HEARING
SMALL CLAIMS
Judgment
Creditor:
Address: _________________________________ City/State/Zip: ________________________________
Home Phone: _____________________________ Work Phone: _________________________________
Judgment Debtor:
Address: _________________________________ City/State/Zip: ________________________________
Home Phone: _____________________________ Work Phone: _________________________________
☐ On _______________, the judgment creditor received a judgment of $__________ against the judgment
date
debtor in the above mentioned case. As of _______________, payment of the judgment is overdue by 30
date
days or longer. The case is not on appeal.
OR
☐ On _______________, the judgment creditor received an installment judgment of $__________ per
_______________ for a total of $__________. As of _______________, an installment is overdue by 30 days
date
or longer. The case is not on appeal.
I, ___________________________________, the judgment creditor state that the balance due on the
judgment is $_______________ and request that the Court hold a financial disclosure hearing and order such
payments as the Court deems appropriate.
Date: ________________________ Signature Judgment Creditor: __________________________
