NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER Reserved for Clerk's File Stamp ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, AND NOTICE OF ENTRY OF JUDGMENT ­ VEHICLE CODE SECTION 40220 40267 AND ISSUANCE OF A WRIT OF EXECUTION AND/OR OTHER ENFORCEMENT REQUEST FOR ENTRY OF JUDGMENT 1. The Transportation Corridor Agencies (Other) _________________________________________________ has complied with the provisions of the Vehicle Code sections 40220 and 40267. 2. The time to file an appeal has expired. 3. The defendant has accrued more than $400 in unpaid penalties and fees, and have elapsed since mailing of notice to defendant. twenty-one days thirty days 4. The itemization of unpaid penalties and administrative fees have been filed with Department of Motor Vehicles. Registration of the vehicle has not been renewed for 60 days beyond the renewal date, and the Department of Motor Vehicles has not collected the penalties and fees. 5. Unpaid penalties and fees have accrued in the sum of $ charge of $ ___________________plus interest at the legal rate. plus civil filing fee and administrative Transportation Corridor Agencies 6. The clerk is requested to enter judgment in favor of the (Other) __________________________________________________ against the above named defendant. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: By: Attorney for LACIV 185 (Rev. 09/13) LASC Approved 07-05 REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, AND NOTICE OF ENTRY OF JUDGMENT VEHICLE CODE SECTION 40220 40267 Veh. Code, §§ 40220, 40267 Gov. Code, § 6103.5 (d) Page 1 of 2 PLAINTIFF/PETITIONER (Name): DEFENDANT/RESPONDENT (Name): CASE NUMBER JUDGMENT AND NOTICE OF ENTRY OF JUDGMENT Judgment entered in favor of Transportation Corridor Agencies against the defendant, as follows: a. b. c. d. (Other) _________________________________ Principal........................................................................................$ _______________________________ Costs (including civil filing fee and administrative charge)...........$ _______________________________ Total amount of judgment....................................................$ ______________________________ Plus interest after judgment at the legal rate. . All fees waived by the court must be reimbursed upon partial or full SHERRI R. CARTER, Executive Officer/Clerk By: Deputy Clerk Judgment entered on recovery of judgment. Dated: CERTIFICATE OF MAILING I, the below-named Executive Officer/Clerk of the above-entitled court, do hereby certify that I am not a party to the cause herein, and that on this date I served the Request for Entry of Judgment, Judgment, and Notice of Entry of Judgment - Vehicle Code section United States mail at the courthouse in 40220 40267 upon each party or counsel named below by depositing in the , California, one copy of the original filed/entered herein in a separate sealed envelope to each address as shown below with postage thereon fully prepaid. SHERRI R. CARTER, Executive Officer/Clerk By: Deputy Clerk LACIV 185 (Rev. 09/13) LASC Approved 07-05 REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, AND NOTICE OF ENTRY OF JUDGMENT VEHICLE CODE SECTION 40220 40267 Veh. Code, §§ 40220, 40267 Gov. Code, § 6103.5 (d) Page 2 of 2