GOVERNMENT SERVICES CENTER 315 HIGH STREET SUITE 550 HAMILTON, OHIO 45011-6016 513-887-3278 513-887-3966 (fax) clerkmail@butlercountyohio.org www.butlercountyclerk.org PRECIPE FOR CERTIFICATE OF JUDGMENT COURT OF COMMON PLEAS, BUTLER COUNTY, OHIO Case No.: Creditor: -VS- Debtor: ------------------------------------------------------------------------------------------------------------------------------------------- INSTRUCTIONS TO THE CLERK OF COURTS: Please prepare and issue a Certificate of Judgment in favor of the Creditor: Cred Address: City: State: Zip Code: Rendered against the Debtor: Address: City: State: Zip Code: File in the following court(s): JUDGMENT INFORMATION: Court issuing judgment: Date issued: Amount of judgment: Interest rate: Interest rate beginning date: Additional court costs to be included: PLEASE ATTACH A COPY OF THE JUDGMENT ENTRY WHEN FILING THIS PRECIPE. REQUESTING PARTY: Name: Address: City:State:Zip Code:Phone: ( ) American LegalNet, Inc. www.FormsWorkFlow.com