NAME AND ADDRESS OF COURT: SMALL CLAIMS CASE NO.: FOR COURT USE ONLY SC-134 PLAINTIFF/DEMANDANTE (name, address, and telephone number of each): Telephone No.: DEFENDANT/DEMANDADO (name, address, and telephone number of each): Telephone No.: See attached sheet for additional plaintiffs and defendants. ORDER TO PRODUCE STATEMENT OF ASSETS AND TO APPEAR FOR EXAMINATION 1. TO JUDGMENT DEBTOR (name): 2. YOU ARE ORDERED a. to pay the judgment and file proof of payment (a canceled check or money order or cash receipt, and a written declaration that shows full payment of the judgment, including postjudgment costs and interest) with the court before the hearing date shown in the box below, OR b. to (1) personally appear in this court on the date and time shown below, and (2) bring with you a completed Judgment Debtor's Statement of Assets (form SC-133). At the hearing you will be required to answer questions about your income and assets; and explain why you did not complete and mail form SC-133 to judgment creditor in a timely manner. (You should have sent it within 30 days after the Notice of Entry of Judgment (form SC-130) was mailed or handed to you by the clerk.) Hearing Date: Date Dept.: Time: Room: Si usted no se presenta y no ha pagado el monto del fallo judicial, inclusive las costas e intereses posterlores al fallo, la corte puede expedir una orden de detencion contra usted, declararle en desacato y ordenar clue pague multas. Name and address of court if different from above: If you fail to appear and have not paid the judgment, including postjudgment costs and interest, a bench warrant may be issued for your arrest, you may be held in contempt of court, and you may be ordered to pay penalties. 3. This order may be served by a sheriff, marshal, or registered process server. Date: (SIGNATURE OF JUDGE) APPLICATION FOR THIS ORDER (See Instructions on reverse) applies for an order requiring A. Judgment creditor (the person who won the case) (name): judgment debtor (the person or business who lost the case and owes money) (name): to (1) pay the judgment or (2) personally appear in this court with a completed Judgment Debtor's Statement of Assets (form SC-133), explain why judgment debtor did not pay the judgment or complete and mail form SC-133 to judgment creditor within 30 days after the Notice of Entry of Judgment was mailed or handed to judgment debtor, and answer questions about judgment debtor's income and assets. B. I, judgment creditor, state the following: (1) Judgment debtor has not paid the judgment. (2) Judgment debtor either did not file an appeal or the appeal has been dismissed or judgment debtor lost the appeal. (3) Judgment debtor either did not file a motion to vacate or the motion to vacate has been denied. (4) More than 30 days have passed since the Notice of Entry of Judgment was mailed or delivered to judgment debtor. (5) I have not received a completed Judgment Debtor's Statement of Assets from judgment debtor. (6) The person to be examined resides or has a place of business in this county or within 150 miles of the place of examination. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (DECLARANT) Page 1 of 2 Code of Civil Procedure, §§ 116.820, 116.830, 708.170 www.courts.ca.gov ­ The county provides small claims advisor services free of charge ­ Form Adopted for Mandatory Use Judicial Council of California SC-134 [Rev. January 1, 2017] APPLICATION AND ORDER TO PRODUCE STATEMENT OF ASSETS AND TO APPEAR FOR EXAMINATION (Small Claims) American LegalNet, Inc. www.FormsWorkFlow.com SC-134 INSTRUCTIONS FOR APPLICANT 1. This form is intended to be an easy tool to enforce your right to receive a completed Judgment Debtor's Statement of Assets (form SC-133). This form is not intended to replace the Application and Order for Appearance and Examination (form EJ-125), often called an "Order for Examination." The Application and Order for Appearance and Examination should still be used to enforce a small claims judgment if you are not seeking at the same time to make the debtor complete a Judgment Debtor's Statement of Assets. 2. To set a hearing on an Application and Order to Produce Statement of Assets and to Appear for Examination, you must complete this form, present it to the court clerk, and pay the fee for an initial hearing date or a reset hearing date. 3. After you file this form, the clerk will set a hearing date, note the hearing date on the form, and return two copies or an original and one copy of the form to you. 4. If you want to be able to ask the court to enforce the order on the judgment debtor (the person or business who lost the case), you must have a copy of this form and a blank copy of the Judgment Debtor's Statement of Assets (form SC-133) personally served on the judgment debtor by a sheriff, marshal, or registered process server at least 10 calendar days before the date of the hearing, and have a proof of service filed with the court. The law provides for a new fee if you reset the hearing. 5. If the judgment is paid, including all postjudgment costs and interest, you must immediately complete the Acknowledgment of Satisfaction of Judgment on the reverse of the Notice of Entry of Judgment (form SC-130) and file a copy with the court. 6. You must attend the hearing unless the judgment has been paid. Request for Accommodations. Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least 5 days before your hearing. Contact the clerk's office for Request for Accommodation (form MC-410). (Civil Code, § 54.8.) SC-134 [Rev. January 1, 2017] APPLICATION AND ORDER TO PRODUCE STATEMENT OF ASSETS AND TO APPEAR FOR EXAMINATION (Small Claims) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com