I, the undersigned, declare:
1. That the judgment creditor has been paid in full the amount of judgment, accrued interest,
and costs.
2. That the judgment creditor has been requested to file a satisfaction of judgment and refuses
to do so or the present address of the judgment creditor is unknown.
3. The documents attached to the statement constitute evidence or receipt of judgment.
(Canceled check or money order payable to and endorsed by the judgment creditor, or a
cash receipt signed by the judgment creditor.)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF JUDGMENT DEBTOR)
Satisfaction of Judgment entered on (date):
Date:
JUDICIAL OFFICER OR DEPUTY CLERK
Approved for Optional Use
L1070 (Rev. March 2019)
SMALL CLAIMS DECLARATION AND ORDER
OF SATISFACTION OF JUDGMENT
Code of Civil Procedure,
§§ 116.840, 116.850
ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE BAR NO.:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
JUSTICE CENTER:
Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045
Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595
North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500
West 8141 13
th
Street, Westminster, CA 92683-4593
PLAINTIFF:
DEFENDANT:
SMALL CLAIMS DECLARATION AND ORDER OF
SATISFACTION OF JUDGMENT
CASE NUMBER:
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