Attorney(s) for Space above for use of Court Clerk only SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN JOAQUIN No. DECLARATION FOR ISSUANCE OF WRIT OF EXECUTION AND ORDER Defendant(s) (ABBREVIATED TITLE) Plaintiff(s) vs. I declare that I am the the following (judgment) (order) was made, and entered on in the above entitled cause; that 2000 (C) American LegalNet, Inc. Sup. Ct. 115 (9/90) (Where payments are ordered to be paid at different times, fill in data below; in other cases, strike out inapplicable portions). Failure to claim interest shall be deemed a waiver thereof. That the installments ordered and interest thereon, and the installments paid and interest thereon, are as follows: date due Installments Ordered Paid Installments Actually Paid amount interest date paid on principal on interest on principal Balance Due on interest * TOTAL $ $ TOTAL $ $ TOTAL $ $ I, the undersigned state: That there is actually due on said order the sum of $ costs, $ attorney fees and $ . principal, $ interest, for which sum it is prayed that a writ of execution issue in favor of to County. Dated I certify (or declare) under penalty of perjury that the foregoing is true and correct. (signature) ORDER FOR ISSUANCE OF WRIT OF EXECUTION Upon reading the declaration of and good cause appearing therefor, it is ordered that a writ of execution issue in the sum of $ $ to Dated: , principal; $ , interest, in favor of County. Judge 2001© American LegalNet, Inc. ., costs: $ , attorney fees. and