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SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Central (The Superior Court of California - County of Orange)

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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 OF DEFAULT
JUDGMENT
CASE NUMBER:
On (date): the above mentioned parties filed a Stipulation for Entry of Judgment.
Defendant agreed to pay installments of $ per commencing .
Defendant has defaulted in payments. To date, $ has been received and the installment due on
(date): has not been paid.
Defendant did not comply with the terms of our agreement (specify):
Therefore, plaintiff requests that judgment be entered in the amount of: $ Principal, $
Interest, and $ Costs, for a TOTAL SUM OF $ .
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 DECLARANT)
JUDGMENT IS ENTERED AS FOLLOWS:
Judgment is for plaintiff and
against defendant in the amount of:
$ Principal, $ Interest, and $ Costs, for a TOTAL SUM OF $
Date:
JUDICIAL OFFICER
Judgment entered on (date): DAVID H. YAMASAKI, Clerk of the Court
By:
Deputy Clerk
Approved for Optional Use
L-1152 (Rev. March 2019)
SMALL CLAIMS - DECLARATION OF DEFAULT
AND JUDGMENT
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Central (The Superior Court of California - County of Orange)

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Completed 9 February 2021

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