SC-1 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF NAPA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: PLAINTIFF: DEFENDANT: 825 Brown Street 825 Brown Street Napa, CA 94559 FAX NO. (Optional): DECLARATION OF JUDGMENT DEBTOR FOR ENTRY OF SATISFACTION OF JUDGMENT (SMALL CLAIMS) 1. 2. 3. I am the judgment debtor in this case. Judgment was entered against me on ________________. I have satisfied (paid) the judgment as follows: Fully, including accrued interest, costs and administrative fees, if applicable. Partially, in the amount of $_________________. The judgment creditor refuses to accept any more payments. 4. CASE NUMBER: I requested that the judgment creditor file an acknowledgment of satisfaction of judgment. I made my request in writing on (date) _________________. As of the date of this declaration, the judgment creditor has not complied with my request. I have been unable to contact the judgment creditor because their address is unknown. I served by mail a copy of this declaration at the judgment creditor's last known address as follows: 5. 6. The following documents, which constitute evidence of Cancelled check full partial payment of the judgment are attached: money order written by me after judgment and made payable to, and endorsed by, the judgment creditor. Cash receipt for the amount paid, signed by the judgment creditor. Other: __________________________________________________. 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 Judgment Debtor's Name Judgment Debtor's Signature Form SC-1 Adopted for Optional Use [Rev. April 17, 2017] American LegalNet, Inc. www.FormsWorkFlow.com SC-1 CLERK'S ENTRY OF SATISFACTION OF JUDGMENT Satisfaction of judgment is entered pursuant to Code of Civil Procedure section 116.850(c) as follows: Full satisfaction. Partial satisfaction in the amount of $______________. Richard D. Feldstein, Court Executive Officer Date: By: , Deputy Form SC-1 Adopted for Optional Use [Rev. April 17, 2017] American LegalNet, Inc. www.FormsWorkFlow.com