SC-290 To the court clerk: My name is: Mailing address: Phone: Acknowledgment of Satisfaction of Judgment Clerk stamps here when form is filed. See instructions on other side. I am the (check one): a. b. Judgment creditor. Assignee of record. Fill in the court name and street address: Superior Court of California, County of I acknowledge that the judgment owed to (name): was paid or otherwise satisfied on (date): as follows (check and complete one): a. The judgment has been fully paid or satisfied as to all judgment debtors. b. The judgment has been fully paid or satisfied as to these judgment debtors only (names and addresses of judgment debtors who have fully paid or satisfied judgment): Fill in your case number and case name: Case Number: Case Name: (1) Name: Mailing address: street city state zip (2) Name: Mailing address: street city state zip (3) Name: Mailing address: street city state zip (4) Name: Mailing address: street city state zip I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: Type or print your name Judgment creditor or assignee signs here Judicial Council of California, www.courtinfo.ca.gov New July 1, 2010, Optional Form Code of Civil Procedure, § 116.850 Acknowledgment of Satisfaction of Judgment (Small Claims) SC-290 American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Form SC-290, Acknowledgment of Satisfaction of Judgment (This page is not part of the Acknowledgment of Satisfaction of Judgment and does not need to be copied, served, or filed.) Warning to the judgment creditor or person to whom the judgment has been assigned! · When a small claims judgment has been fully paid or satisfied, you must file an Acknowledgment of Satisfaction of Judgment with the small claims court immediately. · If the Acknowledgment is not filed within 14 days after the judgment debtor requests it, you may have to pay the judgment debtor damages and a penalty. Use Form SC-290 to acknowledge payment of a small claims judgment if: · You are the judgment creditor (or assignee), and the judgment debtor has paid the full judgment (or satisfied it in another way), and · Form EJ-001, Abstract of Judgment--Civil and Small Claims, has NOT been recorded for this judgment. Use Form EJ-100 to acknowledge payment if: · The judgment debtor has paid only part of the judgment, or · Form EJ-001, Abstract of Judgment--Civil and Small Claims, has been recorded. Need help? For free help, contact your county's small claims advisor: [local info here] Or go to "County-Specific Court Information" at www.courtinfo.ca.gov/selfhelp/smallclaims. New July 1, 2010 Acknowledgment of Satisfaction of Judgment (Small Claims) SC-290