Fill and Sign the Form27adoc

In the District Court of ________________ County State of Oklahoma _____________________________ ) ) vs. ) Case No. ___________________ ) _____________________________ ) Statement of Judgment State of Oklahoma ) ) SS County of _________________ ) _________________________________, of lawful age, first being duly sworn, deposes and says: 1. That on the ______ day of ______________________, 20_____, a money judgment was rendered in case number _________________ in District Court of ___________________ County styled as follows: Against Judgment Debtor In Favor Of Judgment Creditor Amount: Judgment Costs & Attorney Fees 2. That judgment was filed with the Court Clerk of __________________ County on the _______ day of ____________________, 20______. 3. That the County Clerk shall enter on the judgment index a statement based on this information, in compliance with 12 O.S. Supp. 1997 § 706. 4. That the name and address of the judgment creditor is: Name _______________________________________________ Address _______________________________________________ _______________________________________________ Further, your affiant sayeth not. Name ___________________________________________ Title ___________________________________________ (if any) Organization ___________________________________________ (if any) Address ___________________________________________ ___________________________________________ Signed and sworn to before me on the ______ day of _______________________, 20_____ by ____________________________. ____________________________________________ Notary Public My Commission Expires: ______________________________ AOC Form 27a Revised 9/05