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 SACRAMENTO SMALL CLAIMS DIVISION 301 Bicentennial Circle Sacramento, California 95826 Phone: (916) 875-7514 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: EX PARTE DECLARATION AND ORDER TO SET ASIDE JUDGMENT IN INSTALLMENTS I, the undersigned Judgment Creditor in the above action, declare that judgment was entered against _______________________________, Judgment Debtor, on ____ /____ /_______ for $ ________________ and that the Court ordered the Judgment be paid in installment due on ____ /____ /_______ has not been paid. The Judgment Creditor requests the Court vacate the Order providing for installment payments and to permit the Creditor to proceed with execution of the judgment. Executed on ____ /____ /_______ at _______________________, California. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. ________________________________ ________________________________________ JUDGMENT CREDITOR SO ORDERED: Dated: ____ /____ /_______ ________________________________________ JUDGE OF THE SUPERIOR COURT COMMISSIONER CERTIFICATE OF SERVICE BY MAIL C.C.P. Sec. 1013(a)4 I, the Clerk of this Court, certify that I am not a party to the above cause, and on the date shown below, served the foregoing notice by depositing true copies, enclosed in separate, sealed envelopes, postage prepaid, in the United States mail at Sacramento, California, each envelope addressed to the persons and addresses shown below. Dated: ____ /____ /_______ ________________________________________ DEPUTY CLERK SCL/E-4 (Rev. 1/2007) EX PARTE DECLARATION AND ORDER TO SET ASIDE JUDGMENT IN INSTALLMENTS American LegalNet, Inc. www.FormsWorkFlow.com