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CHILD'S NAME CASE NUMBER Additional judgment debtor(s): Name and last known address 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 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 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 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 _________________________________________________________________________________________________________________________________________________________________ SDSC JUV-791 A (New 8/15) Optional Form ATTACHMENT TO ABSTRACT OF JUDGMENT FOR RESTITUTION JUVENILE (SDSC FORM #JUV-791) American LegalNet, Inc. www.FormsWorkFlow.com Civ. Code § 1714.1 Pen. Code § 1214 Welf. & Inst. Codes §§ 730.6 & 730.7 Code Civ. Proc. § 674