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JL FILING INSTRUCTIONS Please type or laser-print information on this form. Be sure information provided is legible. Read all instructions and follow them completely. Complete the form very carefully as mistakes may have important legal consequences. Do not insert anything in the open space in the upper right portion of this form as it is reserved for filing office use. Do not staple or otherwise mutilate the barcode in the upper left corner of the document, this will render the barcode ineffective. To provide the requester with an acknowledgment of filing, the original and a duplicate copy of the notice must be presented for filing. This Notice of Judgment Lien must be filed according to provisions of Section 697.510 of the Code of Civil Procedure. Section A:To assist filing office communication with the filer, information in this section should be provided. Section B:Enter name and mailing address of requester in this section. This is required information. ITEM 1a or 1b:Enter the exact legal name of the organization or the name of the individual that is the debtor appearing on the court judgment. Use the judgment lien addendum to add additional judgment debtor names. ITEMS 1c:Enter the last known mailing address of the judgment debtor. ITEM 2a or 2b:Enter the exact legal name of the organization or the name of the individual that is the creditor appearing on the court judgment. Use the judgment lien addendum for additional judgment creditor names. ITEMS 2c:Enter the last known mailing address of the judgment creditor. ITEM 3A-E:Enter information from the court judgment. ITEM 3F:Enter the amount of the court judgment adjusted for interest and payments to the date of the notice. ITEM 3G:The date of the statement will normally be the date the notice is executed. ITEM 4:The signature of either the judgment creditor or the judgment creditor’s attorney is required. (Section 697.550, Code of Civil Procedure) If the individual signing the statement signs on behalf of a law firm, which is the attorney of record, the name of the law firm should be entered BENEATH, not above, the signature. If the signature is for a judgment creditor, which is an entity, the name of the entity should be entered BENEATH, not above, the signature of the person signing for the judgment creditor. The Judgment Lien must be submitted with a filing fee of ten dollars ($10.00) if the original document is two pages or less and twenty dollars ($20.00) if the original document is three pages or more. Please send a check made payable to the Secretary of State. DOCUMENTS NOT ACCOMPANIED BY THE FILING FEE WILL NOT BE PROCESSED. When properly completed, send payment, and the original and a duplicate copy of the notice to: Secretary of State P.O. Box 942835 Sacramento, CA 94235-0001 JUDGMENT LIEN ADDENDUM INSTRUCTIONS This form is to be used for listing additional judgment debtors and/or creditors to the NOTICE OF JUDGMENT LIEN. Please type or laser-print information on this form. Be sure information provided is legible. Read all instructions and follow them completely. Complete the form very carefully as mistakes may have important legal consequences. Attach this ADDENDUM to the completed NOTICE OF JUDGMENT LIEN. ITEM 5:Provide the name of the judgment debtor shown in Item 1 of the original NOTICE OF JUDGMENT LIEN. Provide only one name by completing either 5a or 5b, as applicable. ITEMS 6, 7, 8:To add additional debtor names to the judgment lien record, enter the appropriate information in Item 6, 7 or 8, as needed. For each of these items, enter either an organization name or an individual name, not both. Provide the complete mailing address for each judgment debtor. ITEMS 9, 10: To add additional creditor names to the judgment lien record, enter the appropriate information in Item 9 or 10, as needed. For each of these items, enter either an organization name or an individual name, not both. Provide the complete mailing address for each judgment creditor. FILING OFFICE COPY NOTICE OF JUDGMENT LIEN (FORM JL1) (Rev. 6/01) Approved by the Secretary of State NOTICE OF JUDGMENT LIEN FOLLOW INSTRUCTIONS CAREFULLY (front and back of form ) A. NAME & PHONE OF FILER’S CONTACT (optional) B. SEND ACKNOW LEDGMENT TO: (NAME AND ADDRESS) THIS SPACE FOR FILING OFFICE USE ONLY 1. JUDGMENT DEBTOR’S EXACT LEGAL NAME –Insert only one name, either 1a or 1b. Do not abbreviate or combine names . 1a. ORGANIZATION’S NAME 1b. INDIVIDUAL’S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 2. JUDGMENT CREDITOR’S NAME– Do not abbreviate or combine names. 2a . ORGANIZATION’S NAME 2b. INDIVIDUAL’S LAST NAME FIRST NAME MIDDLE SUFFIX 2c.. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 3. ALL PROPERTY SUBJECT TO ENFORCEMENT OF A MONEY JUDGMENT AGAINST THE JUDGMENT DEBTOR TO WHICH A JUDGMENT LIEN ON PERSONAL PROPERTY MAY ATTACH UNDER SECTION 697.530 OF THE CODE OF CIVIL PROCEDURE IS SUBJECT TO THIS JUDGMENT LIEN. A. Title of court where judgment was entered : ______ ______ B. Title of the action : _________ C. Number of this action :_______________________________________________________________________ _________________________ D. Date judgment was entered : ___ ___________________ E. Da te of s u bsequent rene wals of jud gm ent ( if any): F. Amount required to satisfy judgment at date of this notice: $ ______ ___________________ G. Date of this notice : 4. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct: ___________________________________________________________________ Dated: _________________________________ SIGNATURE – SEE INSTRUCTION NO. 4 (If not indicate d, use same as date in item 3G.) FOR: ______________________________________________________________ . (1) FILING OFFICER COPY – JUDGMENT LIEN ADDENDUM FORM (REV. 6/01) CA Secretary of State JUDGMENT LIEN ADDENDUMFOLLOW INSTRUCTIONS CAREFULLY (FRONT AND BACK OF FORM) 5. NAME OF JUDGMENT DEBTOR: ( NAME OF FIRST DEBTOR ON RELATED JUDGMENT LIEN) 5a. ORGANIZATION’S NAME 5b. INDIVIDUAL’S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 6. ADDITIONAL JUDGMENT DEBTOR – insert only one name (6a or 6b):6a. ORGANIZATION’S NAME 6b. INDIVIDUAL’S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 6c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 7. ADDITIONAL JUDGMENT DEBTOR – insert only one name (7a or 7b):7a. ORGANIZATION’S NAME 7b. INDIVIDUAL’S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 7c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 8. ADDITIONAL JUDGMENT DEBTOR – insert only one name (8a or 8b): 8a. ORGANIZATION’S NAME 8b. INDIVIDUAL’S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 8c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 9. ADDITIONAL JUDGMENT CREDITOR – insert only one name (9a or 9b):9a. ORGANIZATION’S NAME 9b. INDIVIDUAL’S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 9c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 10. ADDITIONAL JUDGMENT CREDITOR – insert only one name (10a or 10b):10a. ORGANIZATION’S NAME 10b. INDIVIDUAL’S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY