Sc 133 judgment debtors statement of assets small claims judicial council forms
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JU DGMENT CREDI TOR (th e pe rson or busines s w ho wo n the c ase ) (name) :
JUDG MENT DEBTO R (the pe rso n or bu sine ss w ho lo st th e c ase and o wes mo ne y) (name):
SM ALL CLAIMS CASE NO.:
Th e small claims co urt has ruled tha t you owe mon ey to the judgment creditor.
Yo u may app eal a jud gme nt agai nst you onl y on the other party's cla im. Yo u may no t appeal a j udgment ag ainst you o n your
claim .If you appea red at the tr ial a nd you want to appe al, you must fil e a Noti ce of Appeal (form SC-140) wi thin 30 days after the date the Notice of Entry of Judg men t (form SC-130 or SC-2 00) wa s mailed or hand ed to you by the clerk.
b. If you did no t appea r at t he trial, b efore you can a ppeal , you must first file a Notice of Motion to Vacate Judgment and
Declaration (form SC-135) and pa y the requi red fee within 30 days after th e date the Notice of En try of Judg me nt was mailed
or hande d to you. The judgment cannot be collected until the moti on is decide d. If your mo tion is denied , you then have 10 days a fter the date the no tice of de nial was ma iled to file your appea l.
Unle ss yo u pa y the ju dg ment o r ap pea l th e jud gmen t or file a mo tio n to vaca te, y ou must fill o ut this fo rm an d m ail it to
the p erso n wh o wo n the case within 30 days af ter the Noti ce of Entry of Judgment was mai led or han ded to you by the clerk.
Mailin g this comp leted form d oes n ot sta y enforcement of the jud gme nt.
If you lose yo ur ap peal or motion to va cate, yo u must pay the judg men t, in cludin g postju dgment co sts and interest. As soon as
the sma ll clai ms court denie s your motion to vacate a nd the den ial is no t ap peale d, o r rece ives the dismissa l of yo ur appea l or jud gme nt fro m the superior court after ap peal, th e judgment is no longe r suspen ded and may be immed iately enforce d again st
you by the jud gme nt creditor.
If you were sue d as an i ndividu al, ski p th is box and begin with it em 1 belo w. Othe rwise, che ck the applicab le bo x, atta ch the docu- men ts indicated, a nd compl ete item 1 5 on the reverse.
a. (Co rporati on or partn ersh ip) Attache d to this form is a statemen t d escri bing the nature, valu e, and exact location of all
asse ts of the corporation or the partne rs, and a statement sh owing that the pe rson sig ning this form is authorized to
submi t th is form on beha lf of the corporation or partne rshi p.
(Governmental agen cy) Attached to this fo rm is th e statement of an authorized representativ e of the a gency stating
when the ag ency will pay the jud gme nt and any reasons for its failure to do so.
b.
EM PLOYME NT
Wha t are yo ur sources of income and occupation ? (Provide job title and name of divisio n or office in which you work.)
a. Name and address of your business or emplo yer (includ e address of your pa yrol l or hum an resources d epartmen t, if differen t):
3. How often are you paid ?
daily mon thly every two we eks
other (explain): weekly twice a mo nth
4. Wha t is you r gross pay ea ch pa y perio d? $
5. Wha t is you r take-home pay ea ch pa y perio d? $
If your spo use earns an y income, give the na me of you r spous e, the name and address of the busi ness or employer, job title, and
divisi on o r offi ce (specify):
JUDGMENT DEBTOR'S STATEMENT OF A SSETS
(Small Claims)
Code of Civil Pro cedure, §§ 116.620(a), 116.830 Form Ad opted for Ma ndatory Use Judicial Council of Ca lifornia
1.
2.
a.
3.
4.
MAIL TO THE JUDGMENT CREDITOR
DO NOT FI LE WITH THE COURT SC- 133
NOTICE TO JUDGMENT DEBTOR: You mu st (1) pay the judg men t or (2 ) ap pea l or (3) file a motion to vacate. If you
fail to pa y or take one of the other two actions, yo u must
complete and mail th is form to the jud gme nt creditor. If you do not, yo u ma y h ave to go to co urt to answer que stion s and may
have pen alties i mposed on yo u by the cou rt.
AVISO AL DEUDOR POR FALLO JUDICIAL: Usted de be (1 )
pagar el monto del fal lo ju dicial, o (2) pres entar un r ecu rso de apelación o (3) prese ntar u n recu rso de nu lidad . Si
usted no paga e l fallo o present a uno de estos dos recursos,
de berá l lenar y en viar po r correo este formul ario a su acreedo r po r fal lo judicial . Si no lo hace, es po sible que deba
presen tarse ante la corte para contestar preg untas y paga r las
multas q ue l a co rte le pueda impon er.
JUDGMENT DEB TOR 'S STATEMENT OF A SSETS
1.
2.
b. If not emplo yed, names and addresses of all sources of inco me (specify):
INSTRUCTIONS
6.
Page 1 of 2
Unle ss you ha ve paid the jud gme nt, complete and mail this form to th e judgmen t creditor with in 30 d ays afte r the da te the clerk mails or delivers to you (a) the deni al of your mo tion to vacate, or (b ) the dismis sal of your appea l, or (c) th e judgment agai nst
you on your appeal .
SC-133 [Rev. January 1, 2011]
CASH, BANK DEPOSITS
How much money do you have in cash?
$
How much other money do you have in banks, savings and loans, credit unions, and other financial
institutions either in your own name or jointly (list):
Individual or joint? Account number Balance Name and address of financial institution
PROPERTY
9. List all automobiles, other vehicles, and boats owned in your name or jointly:
Legal owner if different
Value Make and yearAmount owed from registered owner
a.$$
b. $ $
$$ c.
d. $ $
10. List all real estate owned in your name or jointly:
Fair market value Amount owed
$$
$$
OTHER PERSONAL PROPERTY (Do not list household furniture and furnishings, appliances, or clothing.)
11. List anything of value not listed above owned in your name or jointly (continue on attached sheet if necessary):
Description
Value
Address where property is located
$
$
$
15. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
Mail or deliver this completed form to the judgment creditor at the address shown on the Notice of Entry of Judgment form.
JUDGMENT DEBTOR'S STATEMENT OF ASSETS (Small Claims)
SC-133 [Rev. January 1, 2011]Page 2 of 2 (SIGNATURE) (TYPE OR PRINT NAME)
a.
b.
a.
b.
c.
Address of real estate
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. 7.
a.
$
b.$
$ c.
Is anyone holding assets for you? If yes, describe the assets and give the name and address of the
person or entity holding each asset (specify):Yes. No.
12.
Have you disposed of or transferred any asset within the last 60 days? If yes, give the name and
address of each person or entity who received any asset and describe each asset (specify): Yes. No.
13.
If you are not able to pay the judgment in one lump sum, you may be able to make payment arrangements with the person or
business who won the case (the judgment creditor). State the amount that you can pay each month: $ , beginning
on (date): . If you are unable to agree, you may also ask the court for permission to
make installment payments by filing a Request to Make Payments (form SC-220). 14.
License and vehicle identification (VIN) numbers
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