ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address, and State Bar number): After recording, return to: TEL. NO.: EMAIL ADDRESS (Optional): ATTORNEY FOR FAX NO. (Optional): JUDGMENT CREDITOR ASSIGNEE OF RECORD SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, JUVENILE COURT 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 IN THE MATTER OF: CASE NUMBER: THIS SPACE FOR RECORDER'S USE ONLY ABSTRACT OF JUDGMENT FOR RESTITUTION - JUVENILE assignee of record other (specify): applies for an abstract of judgment and represents the following: 1. The judgment creditor a. Judgment debtor: Name and last known address Driver Lic. No. (last 4 digits) and state: Social Security No. (last 4 digits): Date of Birth: b. Additional judgment debtor(s): Name and last known address Unknown Unknown Unknown Name and last known address Driver Lic. No. (last 4 digits) and state: Social Security No. (last 4 digits): Date of Birth: Parent/guardian Co-offender Liability is joint and several Liability is subject to limit in Civ. Code § 1714.1 Name and last known address Unknown Unknown Unknown Driver Lic. No. (last 4 digits) and state: Social Security No. (last 4 digits): Date of Birth: Parent/guardian Co-offender Liability is joint and several Liability is subject to limit in Civ. Code § 1714.1 Name and last known address Unknown Unknown Unknown Driver Lic. No. (last 4 digits) and state: Social Security No. (last 4 digits): Date of Birth: Parent/guardian Co-offender Liability is joint and several Liability is subject to limit in Civ. Code § 1714.1 Continued on Attachment (SDSC Form #JUV-791 A). Unknown Unknown Unknown Driver Lic. No. (last 4 digits) and state: Social Security No. (last 4 digits): Date of Birth: Parent/guardian Co-offender Liability is joint and several Liability is subject to limit in Civ. Code § 1714.1 Unknown Unknown Unknown Date: Type or print name Signature of Applicant or Attorney _________________________________________________________________________________________________________________________________________________________________ SDSC JUV-791 (New 8/15) Optional Form ABSTRACT OF JUDGMENT FOR RESTITUTION ­ JUVENILE Civ. Code § 1714.1 Pen. Code § 1214 Welf. & Inst. Codes §§ 730.6 & 730.7 Code Civ. Proc. § 674 American LegalNet, Inc. Page 1 of 2 www.FormsWorkFlow.com  CHILD'S NAME CASE NUMBER CERTIFICATION 2. I certify that this is a true and correct abstract of the restitution order entered in this action. 3. Judgment creditor(s) (name): whose address or whose attorney's address appears on this form above the court's name. 4. All judgment debtor(s) are listed on page 1 5. Judgment entered on (date): 6. Total amount of judgment as entered: $ 7. A stay of enforcement was ordered on (date): A stay of enforcement was not ordered. A certified copy of the restitution order is attached. and is effective until (date): . and on Attachment (SDSC Form #JUV-791 A). 8. Clerk of the Superior Court Date: by , Deputy [SEAL] _________________________________________________________________________________________________________________________________________________________________ SDSC JUV-791 (New 8/15) Optional Form ABSTRACT OF JUDGMENT FOR RESTITUTION ­ JUVENILE Civ. Code § 1714.1 Pen. Code § 1214 Welf. & Inst. Codes §§ 730.6 & 730.7 Code Civ. Proc. § 674 American LegalNet, Inc. Page 2 of 2 www.FormsWorkFlow.com