Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Defendants Election Form. This is a Oregon form and can be use in Uniform Trial Court Statewide.
Loading PDF...
Tags: Notice Of Defendants Election, 15.010.1e, Oregon Statewide, Uniform Trial Court
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR _________________ COUNTY
Small Claims Division - _____________________________________________________
(court’s address and phone number)
__________________________________________
Plaintiff
v.
__________________________________________
____________________________________________________________
Defendant(s)
)
)
)
)
)
)
)
)
CASE No. _________________
SMALL CLAIMS JUDGMENT;
MONEY AWARD
G General G Limited G Supplemental
G Plaintiff
Submitted by: ________________ G Defendant
JUDGMENT. I hereby give judgment in this case for the Judgment Creditor named in the money judgment/money
award below and against the judgment debtor(s) named therein.
In addition to or in lieu of the money award below, this judgment establishes the following requirements: □ NONE,
OR ________________________________________________________________________________________
___________________________________________________________________________________________
MONEY JUDGMENT/MONEY AWARD
1. Judgment Creditor: _________________________________________________________________________
Name(s)/Address
2. Judgment Creditor’s Attorney: G None, OR _____________________________________________________
Name/Address/Phone No.
________________________________________________________________________________ in this case.
3. Judgment Debtor(s). Information for any additional debtor(s) is provided in attachments and incorporated
herein by reference:
4a. Name: ____________________________________ 4b. Name: ___________________________________
5a. Address: __________________________________
5b. Address: _________________________________
6a. DOB: _____________________________________ 6b. DOB: ____________________________________
7a. SSN or Tax ID: _____________________________
7b. SSN or Tax ID: ____________________________
8a. Dr Lic. No./State: ____________________________ 8b. Dr Lic. No./State: __________________________
9. Judgment Debtor’s Attorney: G None, OR ____________________________________________ in this case.
Name
10. I know the following person or public body is entitled to a portion of the money award: G NO ONE,
OR ________________________________________________________________________________________
Name
11. Judgment is for a total judgment award of $____________ , which includes the following money amounts (and
postjudgment interest at rate shown):
12. Money awarded in the amount of $___________
15. Accrued arrearages of $__________
13. Prejudgment interest of $____________
16. Costs and service expenses of $__________
14. Postjudgment interest on “11" will be at _____% per _____. 17. Prevailing party fee of $__________
DATED SIGNED: _______________________
_____________________________________________
Circuit Court Judge
_____________________________________________
Print Judge’s Name
Form 15.010.1e – SMALL CLAIMS JUDGMENT; MONEY AWARD – UTCR 15.010(1)(e)
(Revised 8-1-11)
American LegalNet, Inc.
www.FormsWorkFlow.com
