Sc-290 Acknowledgement Of Satisfaction Of Judgement

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Acknowledgment of
Clerk stamps here when form is filed.
SC-290
Satisfaction of Judgment
To keep other people from
seeing what you entered on
See instructions on other side.
your form, please press the
To the court clerk:
Clear This Form button at the
end of the form when finished.
My name is:
Mailing address:
Phone:
Fill in the court name and street address:
I am the
(check one):
Superior Court of California, County of
a.
Judgment creditor.
b.
Assignee of record.
I acknowledge that the judgment owed to
(name):
was paid or otherwise satisfied on
(date):
Fill in your case number and case name:
as follows
(check and complete one):
Case Number:
a.
The judgment has been fully paid or satisfied as to all
judgment debtors.
Case Name:
b.
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):
(1)
Name:
Mailing address:
street
city
state
zip
(2)
Name:
Mailing address:
street
city
state
zip
(3)
Name:
Mailing address:
street
city
state
zip
(4)
Name:
Mailing address:
street
city
state
zip
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
Acknowledgment of Satisfaction of Judgment
SC-290
Judicial Council of California,
New July 1, 2010, Optional Form
(Small Claims)
Code of Civil Procedure, § 116.850

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