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Decl re Foreign Judgment (DCLR) - Page 1 of 1 WPF All Cases 01.0100 ( 03/2016) RCW 4.64.030, 6.36.035 Superior Court of Washington C ounty of In re: Petitioner, and Respondent. No . D eclaration re : Foreign J udgment (O ptional Use ) (DCLR) I ______________________________ [Name] Declare: The following is a true and correct summary of the foreign judgment for money, which was filed on __________________________ [date] and expires on _______________________________ [date] under the laws of the originating jurisdiction: A. Judgment creditor B. Judgment debtor C. Principal judgment amount $ D. Interest to date of judgment $ E. Attorney fees $ F. Costs $ G. Other recovery amount $ H. Principal judgment shall bear interest at __________ % per annum I. Attorney fees, costs and other recovery amounts shall bear interest at __________ % per annum J. Attorney for judgment creditor K. Attorney for judgment debtor L. Other: The last known post office address of the judgment debtor is: I declare under penalty of perjury under the laws of the state of Washington that the fore going is true and correct. Signed at ______________________, [City] _____________ [ State ] on ____________________ [Date ]. Signature Judgment Creditor Lawyer/WSBA No. Print or Type Name Judgment Creditor Lawyer

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