ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, and Address) FOR COURT USE ONLY TELEPHONE NO: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): NAME OF COURT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETITIONER: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO 301 BICENTENNIAL CIRCLE, ROOM 300 SMALL CLAIMS UNIT SACRAMENTO, CA 95826 CAROL MILLER JUSTICE CENTER PHONE: (916) 875-7514 DEFENDANT/RESPONDENT: CERTIFICATE OF ADDED COSTS CASE NUMBER: To the Sheriff of _____________________ County. LEVYING OFFICER NUMBER: _____________________ I, ________________________________________, the undersigned Deputy Clerk of the above named court, certify that the following is true and correct: After filing of a Memorandum of Costs pursuant to Section 685.70 of the Code of Civil Procedure on ___/___/_______, and no Motion to Tax costs been filed within the time allowed, costs in the amount of $ __________ are to be added to the judgment in the above named case pursuant to Section 685-090 of the Code of Civil Procedure. Dated: ____/____/_________ _____________________________________________ DEPUTY CLERK (SEAL) SCL/E-3 (Rev 1/2007) CERTIFICATE OF ADDED COSTS American LegalNet, Inc. www.FormsWorkflow.com