ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): FOR COURT USE ONLY Telephone No.: E-Mail Address (Optional): ATTORNEY FOR (Name): Fax No. (Optional): Bar No: SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE 9 Central Justice Center, 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 9 Civil Complex Center, 751 W. Santa Ana Blvd., Santa Ana, CA 92701-4512 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: DECLARATION FOR WRIT OF EXECUTION/POSSESSION/SALE Unlimited Civil I am the CASE NUMBER: Judge: Dept.: Date complaint filed: Hearing/trial date: 9 judgment creditor 9 judgment creditor's attorney on this case. . Judgment/order was entered on (date): For Writ of Possession/Sale (description of property): (For Unlawful Detainer cases, use Local Form Number 1051 - Application for Writ of Possession -Unlawful Detainer.) G Description of property continued on attachment. Judgment Debtor(s): Name(s): Address(es) G Additional names and addresses of Judgment Debtors continued on attachment. (Continued on Page 2) DECLARATION FOR WRIT OF EXECUTION/POSSESSION/SALE Approved for Optional Use L855 (Rev. July 1, 2005) American LegalNet, Inc. www.USCourtForms.com Page 1 of 2 If payments were made, complete below: ORIGINAL AMOUNT DUE DATE DUE AMOUNT INTEREST DATE PAID PAYMENTS MADE ON PRINCIPAL ON INTEREST BALANCE DUE ON PRINCIPAL ON INTEREST The amount currently due on the judgment/order is the sum of $ principal, $ postpost-judgment interest, for which sum declarant requests that a Writ judgment costs/attorney fees, and $ . of Execution issue for the County of Note: If you are claiming costs after judgment, you must file Judicial Council Form Number MC-012, Memorandum of Costs After Judgment, Acknowledgment of Credit, and Declaration of Accrued Interest. 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) (SIGNATURE OF DECLARANT) DECLARATION FOR WRIT OF EXECUTION/POSSESSION/SALE Approved for Optional Use L855 (Rev. July 1, 2005) American LegalNet, Inc. www.USCourtForms.com Page 2 of 2