Free SC-106 REQUEST TO PAY JUDGMENT IN INSTALLMENTS (Small Claims) - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Court: Name and Address of . . . . . : : : :
Telephone No.:

Index No. Calendar No.

SMALL CLAIMS CASE NO.

PLAINTIFF/DEMANDANTE (Name, address, and telephone number of each):

DEFENDANT/DEMANDADO (Name, address, and telephone number of each):

Plaintiff(s) -againstTelephone No.:

JUDICIAL SUBPOENA

: :

Defendant(s) : ......................................................
Telephone No.: Telephone No.:

See attached sheet for additional plaintiffs and defendants.

THE PEOPLE OF THE STATE OF NEW YORK TO
REQUEST TO PAY JUDGMENT IN INSTALLMENTS

1.

I request the court to allow me to make installment payments on the judgment entered against me in this case in the amount and manner stated below.

2. My request is based on this declaration, the court records, my completed financial declaration (Form EJ-165--obtain from court clerk) attached to this declaration, and any other evidence that may be presented.
NOTE: YOU MUST ATTACH A COMPLETED FINANCIAL DECLARATION WITH THIS REQUEST TO MAKE INSTALLMENT PAYMENTS.

GREETINGS:

WE COMMAND YOU, matter business aside, you and each of $ 3. Judgment was entered against me in this that allon (date): and excuses being laidin the amount of (specify): you 4. Payment of the entire amount of the judgment at one time will be a hardship on me because (specify): the Honorable at the Court

attend before ,

located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed 5. I can and will make payments toward the judgment in the amount of (specify): $ month. per week or adjourned date, to testify and give evidence as a witness in this action on the part of the
6. I request the court to order that I make payments as specified in item 5 and that execution on the judgment be stayed as long as I make payments according to this schedule. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.
(TYPE OR PRINT NAME) (SIGNATURE OF JUDGMENT DEBTOR)

..............................................

Witness, Honorable Court in County,

, one of the Justices of the
NOTICE day of TO JUDGMENT CREDITOR , 20

The judgment debtor has requested the court to allow payment of the judgment in installments. Complete the following and return this form to the court within 10 days. You will be notified of the court's order, or, if a hearing is necessary, the date of the hearing. (Attorney must sign above and type name below) 1. I am the judgment creditor, and I have read and considered the judgment debtor's request to make installment payments on the judgment. I am willing to accept the payment schedule the judgment debtor has requested. 2. a. week per month. b. I am willing to accept payments in the amount of (specify): $ Attorney(s) for c. I am opposed to accepting installment payments because (specify):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Office and P.O. Address
Date:

..............................................
(TYPE OR PRINT NAME)

Form Approved by the Judicial Council of California SC-106 [New January 1, 1992]

Telephone No.: SEE REVERSE FOR HEARING DATE, IF ANY. Facsimile No.: E-Mail Address: (Continued on reverse) Mobile Tel. No.: REQUEST TO PAY JUDGMENT IN INSTALLMENTS
(Small Claims)

(SIGNATURE OF JUDGMENT CREDITOR)

Code of Civil Procedure, § 116.620(b)

American LegalNet, Inc. www.USCourtForms.com

NOTICE OF MOTION A hearing will be held on this request as follows:
DATE DAY TIME PLACE

HEARING DATE FECHA DEL JUICIO

1. 2. 3. 4.

COURT ORDER
1. 2. The judgment debtor shall pay the full amount of the judgment immediately. The judgment debtor may pay the judgment as follows: a. (If initial lump sum ordered) Pay $ on (date): b. Pay $ or more on (specify): of every (specify): until the judgment is fully paid. (Missed payments) On the filing of an affidavit or declaration by the judgment creditor showing that any payment due has not been paid, this order shall be set aside and the clerk may issue a writ of execution immediately, without further order of the court.

3.

Date:

(JUDGE OR COMMISSIONER)

WARNING: IF YOU MISS A PAYMENT, THE BALANCE OWING ON THE JUDGMENT WILL BECOME DUE IMMEDIATELY.

CLERK'S CERTIFICATE OF MAILING--NOTICE TO JUDGMENT CREDITOR I certify that I am not a party to this action. This Notice to Judgment Creditor was mailed first class, postage prepaid, in a sealed envelope to the responding party at the address shown on the reverse. The mailing and this certification occurred , California, at (place): on (date): Clerk, by , Deputy

CLERK'S CERTIFICATE OF MAILING -- NOTICE OF MOTION I certify that I am not a party to this action. This Notice of Motion was mailed first class, postage prepaid, in a sealed envelope to the responding party at the address shown on the reverse. The mailing and this certification occurred , California, at (place): on (date): Clerk, by , Deputy

CLERK'S CERTIFICATE OF MAILING -- COURT ORDER I certify that I am not a party to this action. This Court Order was mailed first class, postage prepaid, in a sealed envelope to the responding party at the address shown on the reverse. The mailing and this certification occurred at (place): , California, on (date): Clerk, by , Deputy

SC-106 [New January 1, 1992]

REQUEST TO PAY JUDGMENT IN INSTALLMENTS (Small Claims)

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