Superior Court of California County of San Francisco CHECKLIST FOR COURT JUDGMENT- CLAIM & DELIVERY Case # _________________________________ 1. ORIGINAL PROOF OF SERVICE Personal service...................................................................................Yes Substituted service (declaration of due diligence)...........................Yes 2. VENUE: Is venue proper (if consumer goods case- UNRUH)...........Yes No No No No 3. ALL CO-DEFENDANTS have been dismissed/defaulted.................Yes 5. DECLARATION of unavailability of original sec. agreement............Yes No 6. DECLARATION 585(d)........................................................................Yes No 7. DEMAND FOR POSSESSION AS ALLEGED IN COMPLAINT Date of default ................................._____/______/________ Amount of contract...........................................................................$_________________ Balance due.......................................................................................$__________________ Date of demand................................_____/_____/_________ Appraisal or declaration sustaining value......................................Yes No 4. ORIGINAL SECURITY AGREEMENT giving right to possession......Yes No 8. VALUE OF PROPERTY Alleged..................................................$____________________ 9. LOSS OF USE Requested............................................................$____________________. Substantiation of loss of use _____________________________________________________________________ 10. TOTAL CLAIMED ( value +loss )................................................$__________________ 11. TOTAL PRINCIPAL Requested......................................................$__________________ 12. BALANCE ( in any )....................................................................$__________________ For Court Use Only Date: ______________ Clerk: _________________ CHECKLIST FOR COURT JUDGMENT- CLAIM & DELIVERY Page 1 of 2 CK-12 American LegalNet, Inc. www.FormsWorkFlow.com Case # ____________________ 13. Prejudgment Interest Requested.........$__________________ (Prejudgment interest not allowed if "loss of use" was awarded) Applicable rate ( 10% after 1-1-1986)............________% Complaint alleges: contract entered on.. _____/_____/_______ Date of Demand.........................................._____/_____/_______ AMOUNT OF PREJUDGMENT INTEREST awarded ..................$___________________ (_____% X Principal ÷ 365 X __________days from breach to judgment) Was attorney fees provided for in security agreement against named defendant.. Yes No Amount of att. fees requested in security agreement...............$___________________ Justifying Declaration submitted if more than schedule..................................Yes No Amount of Attorney Fees awarded by court schedule...........................$__________________ 14. ATTORNEY FEES Process server request.... $___________ ; Awarded $_______________ Process server Registered or exempt Other................................. $___________ (___________________________________) Subtotal............................. $____________; Awarded $ _______________________ TOTAL ATTORNEY FEES.....( principal + costs).......................................$______________________ AMOUNT awarded (_________+__________).............................................$_______________ 15. COSTS: Filing fee request.......................$___________ ; Awarded $_______________ For Court use Only Date: ______________ Clerk: _____________________ Page 2 of 2 CK-12 American LegalNet, Inc. www.FormsWorkFlow.com CHECKLIST FOR COURT JUDGMENT ­ CLAIM & DELIVERY