Fill and Sign the Proof of Delivery or Mail of Superior Court Maricopa County Form

When Recorded Mail to: Name:__________________________________________ Address:________________________________________ City, State. Zip:__________________________________ Telephone:______________________________________ State Bar Code:__________________________________ Client:__________________________________________IN THE SUPERIOR COURT OF THE STATE OF ARIZONA In and for the County of ___________________ ___________________________________________ CASE NO. ______________________________________, Plaintiff JUDGMENT RENEWAL vs. AFFIDAVIT ______________________________________, Defendant ________________________________________________________________________________JDMT 7 1. The affiant is the Judgment Creditor, his personal representative, or assignee, or a duly authorized agent of either, and is authorized to execute this Judgment Renewal Affidavit on his behalf. 2. On __________________, a Judgment in this civil action was granted against the following Defendants: 3. The total amounts owed by those Defendants on the date the Judgment was granted was wit h interest at _____% from date of Judgment, plus nothing else except: 4. This Judgment was entered by the Clerk of the Superior Court of this county at Letter _________ of Judgment Docket _______________. 5. A Transcript or Certified Abstract of said Judgment was recorded in the offices of the C ounty Recorders of the below listed counties in the docket and at the page set forth here: COUNTY DOCKET NUMBER PAGE NUMBER ___________ _________________ ________________ ___________ _________________ ________________ 6. The Judgment Creditor is the owner of the Judgment, or if not, the owner is set forth hereaft er with a statement of his source and succession of title: 7. No execution is anywhere outstanding and unreturned upon the Judgment, except: 8. The following is a list of all payments, if any, and dates of the payments, all of which have been duly credited upon the Judgment: 9. When any setoff or counterclaim that exists in favor of the Judgment Debtor is settled or determined by action or otherwise, it may be allowed as a payment or credit upon this Judgment. Affiant knows of no setoffs or counterclaims in favor of the Judgment Debtor, except the following amounts or the following desc ribed unliquidated claims: 10. Taking into consideration all setoffs, counterclaims, accruing costs, principal, and t he accruing interest to this date: _____________, the total amount of $ ____________, is due and owing on this Judgment, plus interest and accruing costs from that date forward. 11. This Affidavit is made for the purpose of renewing this Judgment and renewing all Judgment L iens thereon in accordance with ARS 1 2-1612 and 12-1613. WITNESSETH that I have read the foregoing Affidavit and that I verify the same of my own knowledge and positively, and not upon information and belief, and swear to the foregoing. STATE OF ARIZONA ) _________________________________ County of ________________ ) ss Affiant SUBSCRIBED AND SWORN before me this _____ day of ____________, 199___. Notary__________________________________ (seal) Attachment to Judgment pursuant to ARS 33-967 Judgment Creditor (Persons to whom money is owed) sets forth the following information about itself and the Judgment Debtor (person who owes money). 1. The name and address of the Judgment Debtor: _________________________________________________ _______________________________________________________________________________________ 2. The address where the Judgment debtor was served a copy of the Summons: _________________________ _______________________________________________________________________________________ 3. The name and address of the Judgment Creditor: ________________________________________________ _______________________________________________________________________________________ 4. The current total amount of the Judgment is $ _______________________ [ ] Plus _________% annual interest. 5. The Judgment Debtor’s : Social Security Number: __________________________________________ Date of Birth: ___________________________________________________ Drivers License Number: ___________________________________________ State License was issued: __________________________________________ 6. A Stay of Enforcement [ ] has [ ] has not been issued concerning this Judgment. If yes, give the date the Stay of Enforcement expires: ___________________________________________________________________ Date: ______________________________ _________________________________________________________ Judgment Creditor