JUDGMENT CREDITOR (the person or business who won the case) (name):
JUDGMENT DEBTOR (the pe rson or business who lost the case and owes money) (name):
SMALL CLAIMS CASE NO.:
The small claims court has ruled that you owe money to the judgment creditor.
You may appeal a judgment against you only on the other party's claim. You may not appeal a judgment against you on your
If you appeared at the trial and you want to appeal, you must file a Notice of Appeal (form SC-140) within 30 days after the
date the Notice of Entry of Judgment (form SC-130 or SC-200) was mailed or handed to you by the clerk.
b. If you did not appear at the trial, before you can appeal, you must first file a Notice of Motion to Vacate Judgment and
Declaration (form SC-135) and pay the required fee within 30 days after the date the Notice of Entry of Judgment was mailed
or handed to you. The judgment cannot be collected until the motion is decided. If your motion is denied, you then have 10
days after the date the notice of denial was mailed to file your appeal.
Unless you pay the judg ment or appeal the judgment or file a motion to vacate, y ou must fill out this form and mail it to
the person who won the case within 30 days after the Notice of Entry of Judgment was mai led or handed to you by the clerk.
Mailing this completed form does not stay enforcement of the judgment.
If you lose your appeal or motion to vacate, you must pay the judg ment, including postjudgment costs and interest. As soon as
the small claims court denies your motion to vacate and the denial is not appealed, or receives the dismissal of your appeal or
judgment from the superior court after appeal, the judgment is no longer suspended and may be immediately enforced against
you by the judgment creditor.
If you were sued as an individual, skip this box and begin with item 1 below. Otherwise, check the applicable box, attach the docu-
ments indicated, and complete item 15 on the reverse.
a. (Corporation or partnership) Attached to this form is a statement describing the nature, value, and exact location of all
assets of the corporation or the partners, and a statement showing that the person signing this form is authorized to
submit this form on behalf of the corporation or partnership.
(Governmental agency) Attached to this form is the statement of an authorized representative of the agency stating
when the agency will pay the judgment and any reasons for its failure to do so.
What are your sources of income and occupation? (Provide job title and name of division or office in which you work.)
a. Name and address of your business or employer (include address of your payroll or human resources department, if different):
3. How often are you paid?
monthlyevery two weeks
twice a month
4. What is your gross pay each pay period? $
5. What is your take-home pay each pay period? $
If your spouse earns any income, give the na me of your sp ous e, the name and address of the business or employer, job title, and
division or office (specify):
JUDGMENT DEBTOR'S STATEMENT OF ASSETS
Code of Civil Procedure,
§§ 116.620(a), 116.830
Form Adopted for Mandatory Use
Judicial Council of California
SC-133 [Rev. January 1, 2011]
MAIL TO THE JUDGMENT CREDITOR
DO NOT FILE WITH THE COURT
NOTICE TO JUDGMENT DEBTOR: You must (1) pay the
judgment or (2) appea l or (3) file a motion to vacate. If you
fail to pay or take one of the other two actions, you must
complete and mail this form to the judgment creditor. If you do
not, you may have to go to court to answer question s and may
have penalties imposed on you by the court.
AVISO AL DEUDOR POR FALLO JUDICIAL: Usted debe (1 )
pagar el monto del fallo judicial, o (2) presentar un recurso
de apelación o (3) presentar un recurso de nulidad. Si
usted no paga el fallo o presenta uno de estos dos recursos,
deberá llenar y envi ar por correo este formulario a su acreedor
por fallo judicial. Si no lo hace, es posible que deba
presentarse ante la corte para contestar preguntas y pagar las
multas que la corte le pueda imponer.
JUDGMENT DEBTOR'S STATEMENT OF ASSETS
b. If not employed, names and addresses of all sources of income (specify):
Page 1 of 2
Unless you have paid the judgme nt, complete and mail this form to the judgment creditor within 30 d ays after the date the clerk
mails or delivers to you (a) the denial of your motion to vacate, or (b) the dismissal of your appeal, or (c) the judgment against
you on your appeal.
To keep other people from seeing what
you entered on your form, please press
the Clear This Form button at the end of
the form when finished.