STATE OF INDIANA
IN THE FAYETTE SUPERIOR COURT
SMALL CLAIMS COURT
COUNTY OF FAYETTE
CAUSE NO. 21D01
Today the following appeared in person:
and agreed that Claimant(s) is entitled to a judgment as provided below.
IT IS THEREFORE ORDERED that Claimant(s) recover from Defendant(s) the following:
plus Court Costs and 8% interest until satisfied.
Claimant(s) and Defendant(s) agree that:
( ) Defendant(s) shall pay the above judgment plus interest in full on or before ______________.
( ) Defendant(s) shall make regular weekly/biweekly/monthly payments of $__________ beginning
________________ and payments shall continue until the above judgment and interest is paid
and Claimant(s) shall not execute on this judgment as long as payments are current.
( ) ________________________________________________________________________________
Signature of Claimant(s)
Signature of Defendant(s)
SO ORDERED ON ______________
Judge, Fayette Superior Court
INSTRUCTIONS CONCERNING THIS JUDGMENT: The Clerk cannot accept any payments on this judgment until it is made a matter
of record. ALL PAYMENTS MUST BE MADE TO THE CLERK OF THIS COURT, NEVER DIRECTLY TO THE PARTY TO WHOM IT
IS OWED. The entire judgment can be paid all at once or in payments. The Clerk will accept payments (cash or money order) in any
amount, but interest does not stop until the entire judgment is paid. If the parties enter into an agreement concerning the amount of
payments and when payments will be made to the Clerk, the agreement should be put into writing and signed by all parties; the Clerk
has an ”agreed entry” form that the parties can use for that purpose. Unless the parties otherwise agree, the party in whose favor the
judgment is granted may at any time go to the Clerk’s office to sign “proceedings supplemental” paperwork to begin the judgment
collection procedure, which can include a wage garnishment. For further information concerning collecting this judgment, you can
consult the Indiana Small Claims Manual found on the internet at