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Fill and Sign the In the above Entitled and Numbered Cause a Judgment Was Rendered in This Court or Other United States Form

Fill and Sign the In the above Entitled and Numbered Cause a Judgment Was Rendered in This Court or Other United States Form

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IN THE UNITED STATES DISTRICT COURT FOR THE _______________ DISTRICT OF ___________ ____________________ DIVISION Petitioner/Plaintiff, V. CAUSE NO. Defendant/Respondent, ) )))))))) ABSTRACT OF JUDGMENT In the above entitled and numbered cause a judgment was rendered in this Court, or other United States District Court as indicated above and registered herein, on the ____ day of ______________,______, in favor of ______________________________________________________________________________ against _____________________________________________________________________________________________________________________________________________________________________ in the sum of $ ____________________________________________________ with interest at the rate of _____ per cent per annum from the ______ day of ____________, _______. Costs have been taxed by the Clerk of Court in the sum of $ ____________________________________. Credits reflected by returns on execution in the sum of $________________________________________. The birth date and driver's license number of the defendant available to the Clerk are: ________________ ____________________________________________________________________________________. The address of the defendant shown in this suit in which said judgment was rendered:_________________ _____________________________________________________________________________or nature of citation and date and place citation served: ________________________________________________________________________________________________________________________________________. I certify that the above and foregoing is a true and correct abstract of judgment re ndered or registered in this Court. Witness my hand and seal of the Court this _____ day of ______________, 20____. ________________, CLERK By ________________________Deputy Clerk

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