SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 135 N. Alessandro Rd., Banning, CA 92220 BLYTHE 265 N. Broadway, Blythe, CA 92225 RIVERSIDE 4050 Main St., Riverside, CA 92501 HEMET 880 N. State St., Hemet, CA 92543 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) INDIO 46-200 Oasis St., Indio, CA 92201 MORENO VALLEY 13800 Heacock St., Ste. D201, Moreno Valley, CA 92553 TEMECULA 41002 County Center Dr., Ste. 100, Temecula, CA 92591 RI-SCL002 FOR COURT USE ONLY TELEPHONE NO: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: DECLARATION OF SATISFIED JUDGMENT ORDER FOR ENTRY OF SATISFACTION 1. The Judgment entered on shown by the proof submitted: in the above entitled case has been satisfied as 2. That judgment creditor has been requested to file a Satisfaction of Judgment and refuses to do so. OR Judgment creditor's present address is unknown. I, the undersigned, declare under penalty of perjury that I am the Judgment Debtor and the above statements are true and correct. Dated: at , California. (DECLARANT) ORDER Pursuant to the foregoing Declaration and Motion for Satisfaction of Judgment with the attached evidence of payment of the above entitled claim, IT IS HEREBY ORDERED that the Satisfaction of Judgment be entered in the Court records. (DATE) (JUDICIAL OFFICER) Page 1 of 1 Approved for Optional Use Riverside Superior Court RI-SCL002 [Rev.11/9/11] DECLARATION OF SATISFIED JUDGMENT ORDER FOR ENTRY OF SATISFACTION rverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com