Abstract Of Judgment And Judgment Information Sheet - Salt Lake City Justice Court Page 2
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2SALT LAKE CITY JUSTICE COURT
333 SOUTH 200 EAST, PO BOX 145499, SALT LAKE CITY, UT 84111-5499
Phone: 801-535-6301 / Fax: 801-535-6302 /
Name__________________________________________Plaintiff )
JUDGMENT
vs.
)
INFORMATION SHEET
Name________________________________________Defendant )
AND
)
Name________________________________________Defendant )
Case No.____________________
1. The
Plaintiff
Defendant in this action, as judgment creditor, provides the following information in
compliance with Section 78B-5-201.
2. The correct name of the judgment debtor is: ____________________________________________.
3. The correct last known address of the judgment debtor is:
_______________________________________________________________________________________.
Address, City, State, Zip
4. The address at which the judgment debtor received service of process is:
_______________________________________________________________________________________.
Address, City, State, Zip
5. The judgment debtor is,
not a natural person,
is a natural person and
a. the social security number of the judgment debtor is ______________________,
b. the date of birth of the judgment debtor is ______________________________, and
c. the driver’s license number of the judgment debtor is _____________________.
6. The name of the judgment creditor is:________________________________________.
7. The address of the judgment creditor is:
_______________________________________________________________________________________.
Address, City, State, Zip
8. The amount of the judgment is $_____________________. The judgment has not been satisfied.
9.
The judgment has not been stayed.
The judgment has been stayed, and the stay expires on _____________________.
10. This judgment information statement was recorded in the Office of the Recorder of:
____________________________________ County on ________________________________.
11. The county recorder’s entry number is __________________________.
12. The judgment creditor has reviewed its own records, the records of its attorney and the records of
the court in which the judgment was entered. Any information required by Section 78B-5-201 but not
provided in this statement is unknown and unavailable.
_____________________________________
Judgment Creditor Signature
Attorney Signature for Judgment Creditor
Party Name: _______________________________
Party Address: _____________________________
_________________________________________
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