Judgment In the dIstrIct court of the fIfth cIrcuIt state of hawaI`I Plaintiff(s) form #5DC34 Reserved for Court Use Civil No. Defendant(s) filing Party/attorney (Name, attorney Number, firm Name (if applicable), address, Telephone and facsimile Numbers) Judgment JUDGMENT is entered in favor of Plaintiff ___________________________________________________________________________________________________ defendant ____________________________________________________________________, based on the following (check one): Confession Trial Stipulation Default: The Defendant failed to plead or otherwise defend and a default was entered upon proof that Defendant is indebted to Plaintiff. Other (Specify): _____________________________________________________________________________________________) dismissed as to: (LiST DEfENDaNTS): Principal amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________ interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________ attorney's fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________ filing fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________ Service fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________ Mileage for Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________ Other Costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________ Total Judgment amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Clerk Judge i certify that this is a full, true, and correct copy of the original on file in this office. Clerk, District Court of the above Circuit, State of Hawai`i in accordance with the americans with disabilities act, and other applicable State and federal laws, if you require an accommodation for a disability when working with a court program, service, or activity please contact the District Court administration Office at PHONE NO. 482-2347, faX 482-2509, OR TTY 482-2533 at least (10) working days in before your proceeding, hearing, or appointment date. RepRogRaphics (06/10) American LegalNet, Inc. www.FormsWorkFlow.com Judgment 5d-p-164