FL-480 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: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: FOR COURT USE ONLY ABSTRACT OF SUPPORT JUDGMENT 1. The original judgment creditor assignee of record applies for an abstract of a support judgment and represents the following: a. Judgment debtor's name and last known address b. Driver's license no. and state: c. Social security number [last four digits]: d. Birth date: Date: (TYPE OR PRINT NAME) Unknown Unknown Unknown (SIGNATURE OF APPLICANT OR ATTORNEY) 2. I CERTIFY that the judgment entered in this action contains an order for payment of spousal, family, or child support. 3. Judgment creditor (name): whose address appears on this form above the court's name. 4. 5. Judgment debtor (full name as it appears in judgment): 6. a. A judgment was entered on (date): b. Renewal was entered on (date): c. Renewal was entered on (date): The support is ordered to be paid to the following county 7. An execution lien is endorsed on the judgment as follows: officer (name and address): a. Amount: $ b. In favor of (name and address): [SEAL] 8. A stay of enforcement has not been ordered by the court. a. b. been ordered by the court effective until (date): 9. This abstract issued on (date): Form Adopted for Mandatory Use Judicial Council of California FL-480 [Rev. January 1, 2015] This is an installment judgment. , Deputy Page 1 of 1 Code of Civil Procedure, §§ 488.480, 674, 697.320, 700.190 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com Clerk, by ABSTRACT OF SUPPORT JUDGMENT