Small Claims Settlement Agreement
LASC SMCL 017 NEW 10/20
For Optional Use
SUPERIOR COURT OF CALIFORNIA,
COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS
PLAINTIFF
DEFENDANT
CASE NUMBER
Small Claims Settlement Agreement
DATE AND TIME OF HEARING
DEPARTMENT
The parties agree to settle the Plaintiff’s Claim and ORDER to Go to Small Claims Court (Small Claims) and/or Defendant’s Claim and
ORDER to Go to Small Claims Court on the following terms:
____________________________________ agrees to pay _______________________________ the amount of $ ______________
Plaintiff/Defendant Plaintiff/Defendant
The total amount shall be paid:
IN FULL on or before ______________.
IN INSTALLMENT PAYMENTS of $ ___________________ payable on ______________ and on the __________ day of each
month thereafter until the agreed amount is paid in full.
Payments are to be made in the form of Cash; Certified Funds Check; Personal Check; Electronic Transfer; or Other
__________________________________________
Payments are to be submitted to ___________________________________________________ at the following address
________________________________________________________________________ in a manner that ensures receipt on or before the
due date.
Other terms and conditions ______________________________________________________________________________________
_________________________________________________________________________________________________________________
T
his is a settlement agreement. No judgment will be entered now. The parties agree that the court will dismiss the entire action without
prejudice and retain jurisdiction, pursuant to Code of Civil Procedure, section 664.6. This means that either party can come back to court and
request enforcement of this agreement. If you do not pay the amount agreed upon as described, a judgment may be entered on the
settlement agreement for the unpaid balance.
Enforcement must be obtained by filing a Request for Court Order and Answer, (Judicial Council form SC-105) following the procedures as
described in California Rules of Court, rule 3.2107.
Date: ______________ ____________________________ ________________________________________
Print name Signature
Plaintiff Defendant or Authorized Agent
Date: ______________ ____________________________ ________________________________________
Print name Signature
Plaintiff Defendant or Authorized Agent
Date: ______________ _____________________________ ________________________________________
Print name Signature
Mediator
________________________________________________________________________________________________________________
The court has read and considered the Small Claims Settlement Agreement. It is so ordered that this action is dismissed without prejudice.
The Court shall retain jurisdiction pursuant to Code of Civil Procedure, section 664.6.
Date ______________ __________________________________________________
Judicial Officer