THE SUPERIOR COURT OF CALIFORNIA COUNTY OF SHASTA STIPULATION FOR ENTRY OF JUDGMENT [Small Claims] (For Use with Plaintiff's Claim) ) ) ) __________________________________, ) Plaintiff(s), ) vs. ) ) ) __________________________________, ) Defendant(s). ) 1. Case No. _________________ IT IS STIPULATED by plaintiff(s) (name each): __________________________________________ _________________________________________, ________________________________________ and defendant(s) (name each) ____________________________________________________________ _________________________________________, _______________________________________ 2. THAT DEFENDANT(S) agree to pay plaintiff Total $ ______________ to be paid in installment payments, in full settlement of plaintiff's claim. 3. IF AGREEMENT FOR INSTALLMENT PAYMENTS (a) Defendant agrees to pay $ __________ so that each installment is paid no later than the (specify day) ________ day of each month, beginning on (specify date) __________________, until paid in full settlement of plaintiff's claim. (b) If any installment payment is more than (specify) ____days late, the defendant shall be in default of this agreement. In the event of default, the entire amount in item 2, less any payments already received, will become immediately due and payable plus interest at the legal rate. In the event of a default, the plaintiff may obtain a judgment for the full amount, less any payments received, by filing a declaration (a sworn statement under penalty of perjury) with the court asking for judgment and stating the facts regarding the default and regarding any payments that were made before the default. The defendant agrees that, in the event of a default, the plaintiff's written request to the court for judgment does not have to be sent also to the defendant. Provided that the proof of default is satisfactory, the court will issue a judgment without conducting further proceedings. (c) The defendant is responsible for keeping the plaintiff informed of current contact information for the duration of the stipulation. 4. The case is calendared for dismissal on (date) _________________________ at (time) ____________ in Department (specify)_________ unless a Judgment or Request for Dismissal is entered prior to this date. 5. If judgment is entered pursuant to the parties' stipulation, the parties have waived their appeal rights, if any, by entering into the stipulation. STIPULATION FOR ENTRY OF JUDGMENT [Small Claims ­ Plaintiff's Claim] Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com ______________________________________________________________________________________________ Form Approved for Optional Use Shasta County Superior Court LF-SCL-100 [rev July 1, 2012] Case Title: vs. Case No. 6. PLAINTIFF AND DEFENDANT FURTHER STIPULATE: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ____________________________________________________________________________________________ _______________ Date _____________________________________ (PLAINTIFF TYPE OR PRINT NAME) _________________________________ (SIGNATURE OF PLAINTIFF OR ATTORNEY) __________________ Date _____________________________________________ (PLAINTIFF TYPE OR PRINT NAME) _________________________________________ (SIGNATURE OF PLAINTIFF OR ATTORNEY) __________________ Date ____________________________________________ (PLAINTIFF TYPE OR PRINT NAME) _________________________________________ (SIGNATURE OF PLAINTIFF OR ATTORNEY) _______________ Date ____________________________________ (DEFENDANT TYPE OR PRINT NAME) _________________________________ (SIGNATURE OF DEFENDANT OR ATTORNEY) __________________ Date ____________________________________________ (DEFENDANT TYPE OR PRINT NAME) _________________________________________ (SIGNATURE OF DEFENDANT OR ATTORNEY) __________________ Date ____________________________________________ (DEFENDANT TYPE OR PRINT NAME) _________________________________________ (SIGNATURE OF DEFENDANT OR ATTORNEY) IT IS SO ORDERED Date: _______________________________ __________________________________________________ COMMISSIONER/JUDGE PRO TEM/JUDGE OF THE SUPERIOR COURT ______________________________________________________________________________________________ Form Approved for Optional Use Shasta County Superior Court LF-SCL-100 [rev July 1, 2012] STIPULATION FOR ENTRY OF JUDGMENT [Small Claims ­ Plaintiff's Claim] Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com