COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINONAME OF SUPERIOR OR JUSTICE COURT DISTRICT OR OF BRANCH COURT, IF ANYFOR COURT USE ONLYTITLE OF CASE (ABBREVIATED)NAME, ADDRESS, AND TELEPHONE NUMBER OF SENDERCASE NUMBERDECLARATION RE: DEFAULT IN PAYMENTSThe undersigned judgment creditor in the above-entitled action declares:That judgment was entered against judgment debtoronfor $; that the Court ordered the judgment be paidinstallments of $percommencingThat $has been paid on the judgment;That the installment due on has not been paid.THEREFORE, judgment creditor request that execution be issued.Executed on, at, California.I declare under penalty of perjury that the foregoing is true and correct.Judgment CreditorDECLARATION RE: DEFAULT IN PAYMENTS 06-9949-301 Rev. 4/81 SB-9949 American LegalNet, Inc. www.FormsWorkFlow.com