ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS) TELEPHONE FOR COURT USE ONLY ATTORNEY FOR (NAME) SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN MATEO SMALL CLAIMS DIVISION 400 COUNTY CENTER REDWOOD CITY, CA 94063 (650) 261-5015 PLAINTIFF: DEFENDANT: MOTION AND ORDER FOR TIME PAYMENT OF JUDGMENT SMALL CLAIMS CASE NO. I, the undersigned, say: that judgment in the above-entitled action was entered against me on for $ following reasons: ; that payment of the entire judgment forthwith will be a hardship on me for the that I can pay $ per on said judgment beginning . Wherefore, I request that the Court order that judgment may be paid as stated above, and that execution upon said judgment be stayed. I declare under penalty of perjury that the foregoing is true and correct. Executed on at , California. Judgment Debtor COURT ORDER Motion and $ . Judgment may be paid as follows: $ or more on the of each and every on thereafter until fully paid. On the filing of a declaration of the judgment creditor showing that any payment which is then due has not been paid, the above order shall thereby become vacated and the Clerk may issue writ of execution forthwith without further order of the court. Dated: JUDGE/COMMISSIONER OF THE SUPERIOR COURT SC-23 [Rev. 5/10] MOTION FOR TIME PAYMENT OF JUDGMENT AND ORDER www.sanmateocourt.org American LegalNet, Inc. www.FormsWorkFlow.com