13-16074-360, rev 091014 Attorney or Party Without Attorney (Name, State Bar Number and Address) FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO PLAINTIFF/PETITIONER 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 685.070 of the Code of Civil Procedure on , and no Motion to Tax Costs has 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 American LegalNet, Inc. www.FormsWorkFlow.com