EJ-001 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address, and State Bar number): After recording, return to: TEL NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR FAX NO. (optional): JUDGMENT CREDITOR ASSIGNEE OF RECORD SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FOR RECORDER'S USE ONLY CASE NUMBER: PLAINTIFF: DEFENDANT: ABSTRACT OF JUDGMENT--CIVIL AND SMALL CLAIMS assignee of record 1. The judgment creditor applies for an abstract of judgment and represents the following: a. Judgment debtor's Name and last known address Amended FOR COURT USE ONLY b. c. d. Unknown Driver's license no. [last 4 digits] and state: Social security no. [last 4 digits]: Unknown Summons or notice of entry of sister-state judgment was personally served or mailed to (name and address): Information on additional judgment debtors is shown on page 2. 3. Judgment creditor (name and address): 2. 4. 5. Information on additional judgment creditors is shown on page 2. Original abstract recorded in this county: a. Date: b. Instrument No.: Date: (TYPE OR PRINT NAME) (SIGNATURE OF APPLICANT OR ATTORNEY) 6. $ Total amount of judgment as entered or last renewed: 10. 7. All judgment creditors and debtors are listed on this abstract. 8. a. Judgment entered on (date): b. Renewal entered on (date): 9. [SEAL] An execution lien attachment lien is endorsed on the judgment as follows: a. Amount: $ b. In favor of (name and address): This judgment is an installment judgment. 11. A stay of enforcement has a. not been ordered by the court. b. 12. a. b. Clerk, by been ordered by the court effective until (date): I certify that this is a true and correct abstract of the judgment entered in this action. A certified copy of the judgment is attached. , Deputy Page 1 of 2 Code of Civil Procedure, §§ 488.480, 674, 700.190 American LegalNet, Inc. www.FormsWorkFlow.com This abstract issued on (date): Form Adopted for Mandatory Use Judicial Council of California EJ-001 [Rev. July 1, 2014] ABSTRACT OF JUDGMENT--CIVIL AND SMALL CLAIMS PLAINTIFF: DEFENDANT: COURT CASE NO.: NAMES AND ADDRESSES OF ADDITIONAL JUDGMENT CREDITORS: 13. Judgment creditor (name and address): 14. Judgment creditor (name and address): 15. Continued on Attachment 15. INFORMATION ON ADDITIONAL JUDGMENT DEBTORS: 16. Name and last known address 17. Name and last known address Driver's license no. [last 4 digits] and state: Unknown Social security no. [last 4 digits]: Unknown Driver's license no. [last 4 digits] and state: Unknown Social security no. [last 4 digits]: Unknown Summons was personally served at or mailed to (address): Summons was personally served at or mailed to (address): 18. Name and last known address 19. Name and last known address Driver's license no. [last 4 digits] and state: Unknown Social security no. [last 4 digits]: Unknown Driver's license no. [last 4 digits] and state: Unknown Social security no. [last 4 digits]: Unknown Summons was personally served at or mailed to (address): Summons was personally served at or mailed to (address): 20. Continued on Attachment 20. EJ-001 [Rev. July 1, 2014] ABSTRACT OF JUDGMENT--CIVIL AND SMALL CLAIMS Page 2 of 2