CI-132 ATTORNEY OR PARTY WITHOUT ATTORNEY NAME: FIRM NAME: ADDRESS: CITY: E-MAIL ADDRESS (OPTIONAL): ATTORNEY FOR (NAME): STATE: ZIP CODE: TELEPHONE NO: FAX NO. (OPTIONAL): STATE BAR NO: FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF MONTEREY Monterey Division -1200 Aguajito Road, Monterey, California 93940 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: DECLARATION OF JUDGMENT DEBTOR REGARDING SATISFACTION OF JUDGMENT (SMALL CLAIMS) CASE NUMBER: 1. I am the judgment debtor in this case. 2. Judgment was entered against me on . 3. I have satisfied (paid) the judgment, as follows: Fully, including accrued interest, costs and administrative fees, if applicable. Partially in the amount of $ . The judgment creditor refuses to accept any more payments. 4. I have requested that the judgment creditor file an acknowledgment of satisfaction of judgment. I made my request orally in writing on (date) . As of the date of this declaration, the judgment creditor has failed or refused to comply with my request. I have been unable to contact the judgment creditor because his/her present address is unknown. 5. I have served by mail a copy of this Declaration of Judgment Debtor at the judgment creditor's last . known address as follows: 6. The following document(s), which constitutes evidence of full partial payment of the judgment is attached: Cancelled Check Money order written by me after judgment and made payable to, and endorsed by, the judgment creditor. Cash receipt for the amount paid, 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 Judgment Debtor's Name Signature of Judgment Debtor Satisfaction of judgment entered as follows pursuant to Code of Civil Procedure section 116.850(c): Full satisfaction. Partial satisfaction in the amount of $ Dated: . TERESA A. RISI, Clerk of the Court By Form Approved for Optional Use CI-132 Rev. February, 2014 , Deputy Monterey County Superior Court Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com DECLARATION OF JUDGMENT DEBTOR REGARDING SATISFACTION OF JUDGMENT (SMALL CLAIMS) (CIVIL)