SUPERIOR COURT OF CALIFORNIA COUNTY OF SOLANO Small Claims Division Fairfield Branch 600 Union Avenue Fairfield, CA 94533 Vallejo Branch 321 Tuolumne Street Vallejo, CA 94590 Case No. vs. Plaintiff(s) JUDGMENT DEBTOR'S STATEMENT RE: REQUEST TO ENTER SATISFACTION OF JUDGMENT (§116.850(c) C.C.P.) Defendant(s) I am the judgment debtor in the above-entitled action, in which judgment was entered on (date) in the amount of $ including costs. I declare under penalty of perjury that the following is true and correct. 1) 2) On I paid to the judgment creditor $ amount of the judgment and costs as entered. , the full On I asked the judgment creditor to file an acknowledgment of satisfaction of judgment with the court and: (check appropriate box) the judgment creditor refuses to file an acknowledgment of satisfaction with the court. the present address of the judgment creditor is unknown. 3) The documents attached constitute evidence of receipt of this payment. I respectfully request that the court enter satisfaction of judgment in the above-entitled action. at This declaration, under penalty of perjury, is executed on , California. Judgment Debtor The above-named Judgment Debtor, having filed a canceled check or money order written subsequent to the judgment by the Judgment Debtor for the full amount of the judgment, which was made payable and endorsed by the Judgment Creditor, or having filed a cash receipt, written satisfaction of judgment is hereby entered on pursuant to §116.850(c) C.C.P. Dated Judge By Deputy Clerk Form #7000 Rev. 11/00 REQUEST TO ENTER SATISFACTION OF JUDGMENT SL-7000 2001 © American LegalNet, Inc.