DISTRICT COURT OF MARYLAND FOR Located at Court Address City/County Case No. Plaintiff/Judgment Creditor Address City, State, Zip Defendant/Judgment Debtor vs. Address City, State, Zip REQUEST FOR TRANSMITTAL OF JUDGMENT (Md. Rule 3-622) Please transmit a certified copy of the judgment in the above case to the clerk of the District Court for for the purpose of recording. City/County Date Fax E-mail Telephone Number Signature of Plaintiff/Attorney/Attorney Code Printed Name Address City, State, Zip CERTIFICATE OF SERVICE I certify that I served a copy of this motion upon the following party or parties by prepaid hand delivery, on to: Date Name Name Date mailing first class mail, postage Address Address Signature of Party Serving TRANSMITTAL OF JUDGMENT A certified copy of judgment in the above case is herewith transmitted to City/County for the purpose of recording. Date Clerk RECEIPT OF JUDGMENT A certified copy of judgment in the above case was received by City/County . Case Number The case number assigned to this judgment is . Date . Clerk DC-CV-034 (Rev. 09/2014) American LegalNet, Inc. www.FormsWorkFlow.com