CR-110/JV-790 ATTORNEY OR PERSON WITHOUT ATTORNEY (Name, State Bar number, and address): Recording requested by and return to: TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR JUDGMENT CREDITOR ASSIGNEE OF RECORD SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: FOR RECORDER'S USE ONLY MAILING ADDRESS: CASE NUMBER: CITY AND ZIP CODE: BRANCH NAME: CASE NAME: FOR COURT USE ONLY ORDER FOR RESTITUTION AND ABSTRACT OF JUDGMENT (Penal Code, §§ 1202.4(f), 1203.1(l), 1214; Welfare and Institutions Code, § 730.6(h) and (i)) ORDER FOR RESTITUTION 1. a. b. c. d. On (date): defendant (name): was convicted of a crime that entitles the victim to restitution. On (date): child (name): was found to be a person described in Welfare and Institutions Code section 602, which entitles the victim to restitution. Wardship is terminated. Parents or guardians jointly and severally liable (name each): Co-offenders found jointly and severally liable (name each): 2. Evidence was presented that the victim named below suffered losses as a result of defendant's/child's conduct. Defendant/child was informed of his or her right to a judicial determination of the amount of restitution and a. a hearing was conducted. b. stipulated to the amount of restitution to be ordered. c. waived a hearing. 3. THE COURT ORDERS defendant/child to pay restitution to a. the victim (name): in the amount of: $ b. the State Victim Compensation Board, to reimburse payments to the victim from the Restitution Fund, in the amount of: $ sentencing c. plus interest at 10 percent per year from the date of loss or d. plus attorney fees and collection costs in the sum of $ plus an administrative fee at 10 percent of the restitution owed (Pen. Code, § 1203.1(l)) e. 4. The amount of restitution includes a. value of property stolen or damaged medical expenses b. c. lost wages or profits (1) incurred by victim due to injury (2) of victim's parent(s) or guardian(s) (if victim is a child) incurred while caring for the injured child (3) incurred by victim due to time spent as a witness or in assisting police or prosecution (4) of victim's parent(s) or guardian(s) (if victim is a child) due to time spent as a witness or in assisting police or prosecution d. noneconomic losses (felony violations of Pen. Code, § 288 only) e. other (specify): Date: JUDICIAL OFFICER VICTIM TO RECEIVE CERTIFIED COPY FOR FILING WITH COUNTY RECORDER Form Approved for Optional Use Judicial Council of California CR-110/JV-790 [Rev. January 1, 2008] ORDER FOR RESTITUTION AND ABSTRACT OF JUDGMENT Page 1 of 2 Penal Code, §§ 1202.4(f), 1203.1(l), 1214 Welfare and Institutions Code, § 730.6(h), (i), (q) Civil Code, § 1714.1 American LegalNet, Inc. Code of Civil Procedure, § 674(a)(7) www.FormsWorkflow.com www.courtinfo.ca.gov CASE NUMBER: CASE NAME: NOTICE TO VICTIMS PENAL CODE SECTION 1214 PROVIDES THAT ONCE A DOLLAR AMOUNT OF RESTITUTION HAS BEEN ORDERED, THE ORDER IS THEN ENFORCEABLE AS IF IT WERE A CIVIL JUDGMENT. ALTHOUGH THE CLERK OF THE COURT IS NOT ALLOWED TO GIVE LEGAL ADVICE, YOU ARE ENTITLED TO ALL RESOURCES AVAILABLE UNDER THE LAW TO OBTAIN OTHER INFORMATION TO ASSIST IN ENFORCING THE ORDER. THIS ORDER DOES NOT EXPIRE UNDER PENAL CODE SECTION 1214(d). THE VICTIM SHALL FILE A SATISFACTION OF JUDGMENT WITH THE COURT WHENEVER AN ORDER TO PAY RESTITUTION IS SATISFIED, PURSUANT TO PENAL CODE SECTION 1214(d). APPLICATION FOR ABSTRACT OF JUDGMENT 5. The judgment creditor assignee of record applies for an abstract of judgment and represents the following: a. Judgment debtor's other (specify): Name and last known address b. c. d. Driver's license no. [last 4 digits] and state: Social security no. [last 4 digits]: Date of birth: Unknown Unknown Unknown Date: (TYPE OR PRINT NAME) (SIGNATURE OF APPLICANT OR ATTORNEY) ON INFORMATION AND BELIEF ABSTRACT OF JUDGMENT [SEAL] 6. I certify that the following is a true and correct judgment entered in this action. 7. Judgment creditor (name): whose address or whose attorney's address appears on this form above the court's name. 8. Judgment debtor (full name as it appears in judgment): 9. Judgment entered on (date): 10. Total amount of judgment as entered or last renewed: $ 11. A stay of enforcement was ordered on ___________ and is effective until__________. A stay of enforcement was not ordered. This abstract of judgment issued on (date): Clerk, by , Deputy NOTICE TO COUNTY RECORDER THIS ORDER IS ENFORCEABLE AS IF IT WERE A CIVIL JUDGMENT, PURSUANT TO PENAL CODE SECTION 1202.4(l) AND (m), PENAL CODE SECTION 1214, AND WELFARE AND INSTITUTIONS CODE SECTION 730.6(i) AND (r), AND FUNCTIONS AS AN ABSTRACT OF JUDGMENT. CR-110/JV-790 [Rev. January 1, 2008] ORDER FOR RESTITUTION AND ABSTRACT OF JUDGMENT Page 2 of 2