PRECIPE FOR CERTIFICATE OF JUDGMENT _______________________________ No. ___________________________ _______________________________ Plaintiff VS. COMMON PLEAS COURT _______________________________ ______________________________ _______________________________ Defendant ______________________________ App. Doc. ________ Page ________ To the Clerk of Courts of DelawareCounty: Issue, file, docket and index in the Judgment Docket in your county, according to law, a Certificate of Judgment in the above entitled case. Judgment or decree in favor of : Judgment Creditor(s) _________________________________________________________ _________________________________________________________ and against: Judgment Debtor(s) _________________________________________________________ _________________________________________________________ Judgment_Debtor(s)__________________________________________________________ ________________________________________________________ Judgment_Debtor(s)__________________________________________________________ _________________________________________________________ in the amount of __________________________________________with interest at the rate of _________per centum per annum from the _________day of _______________________ Dated _____________________ _________ _____________________________________ Attorney ________________ for ____________________ American LegalNet, Inc. www.FormsWorkFlow.com No. _____________ App. Doc. ____________ Page ____________ Common Pleas Court ______________________________________ ______________________________________ ______________________________________ ______________________________________ Plaintiff ___ Vs. ______________________________________ ______________________________________ Defendant___ ______________________________________ Attorney ______ for ____________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ PRECIPE FOR CERTIFICATE OF JUDGMENT ______________________________________ ______________________________________ Filed _______________________ ________ ______________________________________ Clerk By____________________________________ Deputy ______________________________________ ______________________________________ American LegalNet, Inc. www.FormsWorkFlow.com