FOR COURT USE ONLY ” Recording requested by a return to: UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA In re: CASE NUMBER Debtor ADVERSARY NUMBER Plaintiff ABSTRACT OF JUDGMENT vs. Defendant The Judgment Creditor applies for an abstract of judgment and represents: 1. The Judgment Debtor’s: a. Name and address ______________________________________________________ ______________________________________________________ ______________________________________________________ ” Address Unknown b. ______________________________________________________ ” Unknown c. 2. Driver’s License No. Social Security No. ______________________________________________________ ” Unknown The Summons was personally served at, or mail to (address): ________________________________________________________________________________________________________ 3. ” Information regarding additional judgment debtors is shown on reverse side. Dated: ________________________________________ __________________________________________________ (Signature of Judgment Creditor or Attorney) (Continued on Reverse Side) Revised February 2010 Abstract of Judgment - Page Two In re (SHORT TITLE) CHAPTER _______________________ Debtor(s). 4. ADVERSARY NO.: ________________ I certify that in the above-entitled action and Court, Judgment was entered on __________________________________________, in favor of __________________________________________ and against ___________________________________________ for $ ___________________________________ Principal, $ ___________________________________ Interest, $ ___________________________________ Attorney’s Fees, and $ ___________________________________ Costs. A lien in favor of a judgment creditor is: ” not endorsed on the judgment. ” endorsed on the judgment as follows: 1. Amount $ ________________________________ 2. In favor of (name) ________________________________________________________________________________________ A stay of execution has: ” not been ordered by the Court. ” been ordered by the Court effective until (date): _____________________________________________ Attested this __________________________________________ day of ________________________________________________. KATHLEEN J. CAMPBELL Clerk of the Bankruptcy Court By: _____________________________________________ Deputy Clerk Information regarding additional judgment debtors: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Revised February 2010