Form Laciv 184 - Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment
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2NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE BAR NUMBER
Reserved for Clerk’s File Stamp
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT,
CASE NUMBER:
AND NOTICE OF ENTRY OF JUDGMENT -
WELFARE AND INSTITUTIONS CODE SECTION 903
AND ISSUANCE OF A WRIT OF EXECUTION
AND/OR OTHER ENFORCEMENT
REQUEST FOR ENTRY OF JUDGMENT PURSUANT TO WELFARE AND INSTITUTIONS CODE SECTION 903.
1.
The Probation Department has complied with the provisions of Article 25, Section 900 et seq. of the Welfare and
Institutions Code.
2.
The Clerk of the Court is requested to enter judgment in favor of the Probation Department, County of Los Angeles,
against the defendant(s) pursuant to the Welfare and Institutions Code section 903 as follows:
a. Principal ...................................................................................................$ _________________________
b. Costs (including civil filing fee and administrative charge).......................$ _________________________
c. Total amount of judgment requested……………......................................$ _________________________
d. Plus interest after judgment at the legal rate.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Dated:
Director, Probation Department
By:
REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT,
LACIV 184 (Rev. 09/13)
Welf. & Inst. Code, § 903;
AND NOTICE OF ENTRY OF JUDGMENT -
LASC Approved 07-05
Gov. Code, § 6103.5(d)
WELFARE AND INSTITUTIONS CODE SECTION 903
For Optional Use
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