SC-290 Acknowledgment of Satisfaction of Judgment

Acknowledgment of Satisfaction of Judgment
(Small Claims)
SC-290
Judicial Council of California, www.courtinfo.ca.gov
New July 1, 2010, Optional Form
Code of Civil Procedure, § 116.850
I am the (check one):
My name is:
Mailing address:
Phone:
See instructions on other side.
To the court clerk:
Judgment creditor.
Assignee of record.
Name:
Mailing address:
Name:
Mailing address:
The judgment has bee n fully paid or satisfied as to all
judgment debtors.
The judgment has been fully paid or satisfied as to these
judgment debtors only
(names and addresses of judgment debtors
who have fully paid or satisfied judgment):
a.
b.
a.
b.
Name:
Mailing address:
Name:
Mailing address:
I acknowledge that the judgment owed to (name):
was paid or otherwise satisfied on
(date):
as follows (check and complete one):
SC-290
Acknowledgment of
Satisfaction of Judgment
Clerk stamps here when form is filed.
Case Number:
Fill in your case number and case name:
Fill in the court name and street address:
Superior Court of California, County of
Case Name:
c
d
e
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date:
Type or print your name Judgment creditor or assignee signs here
(1)
(2)
(3)
(4)
street city state zip
street city state zip
street city state zip
street city state zip
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.
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SC-290 Acknowledgment of Satisfaction of Judgment PDF

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