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Judgment Debtor's Statement of Assets

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Judgment Debtor's Statement of Assets (Small Claims)

MAIL TO THE JUDGMENT CREDITOR
DO NOT FILE WITH THE COURT

JUDGMENT CREDITOR (the person or business who won the case) (name):

JUDGMENT DEBTOR (the person or business who lost the case and owes money) (name):

SMALL CLAIMS CASE NO.:

The small claims court has ruled that you owe money to the judgment creditor.

You may appeal a judgment against you only on the other party's claim. You may not appeal a judgment against you on your claim.

If you appeared at the trial and you want to appeal, you must file a Notice of Appeal (form SC-140) within 30 days after the date the Notice of Entry of Judgment (form SC-130 or SC-200) was mailed or handed to you by the clerk.

If you did not appear at the trial, before you can appeal, you must first file a Notice of Motion to Vacate Judgment and Declaration (form SC-135) and pay the required fee within 30 days after the date the Notice of Entry of Judgment was mailed or handed to you. The judgment cannot be collected until the motion is decided. If your motion is denied, you then have 10 days after the date the notice of denial was mailed to file your appeal.

Unless you pay the judgment or appeal the judgment or file a motion to vacate, you must fill out this form and mail it to the person who won the case within 30 days after the Notice of Entry of Judgment was mailed or handed to you by the clerk. Mailing this completed form does not stay enforcement of the judgment.

If you lose your appeal or motion to vacate, you must pay the judgment, including postjudgment costs and interest. As soon as the small claims court denies your motion to vacate and the denial is not appealed, or receives the dismissal of your appeal or judgment from the superior court after appeal, the judgment is no longer suspended and may be immediately enforced against you by the judgment creditor.

If you were sued as an individual, skip this box and begin with item 1 below. Otherwise, check the applicable box, attach the documents indicated, and complete item 15 on the reverse.

(Corporation or partnership) Attached to this form is a statement describing the nature, value, and exact location of all assets of the corporation or the partners, and a statement showing that the person signing this form is authorized to submit this form on behalf of the corporation or partnership.

(Governmental agency) Attached to this form is the statement of an authorized representative of the agency stating when the agency will pay the judgment and any reasons for its failure to do so.

EMPLOYMENT

1. What are your sources of income and occupation? (Provide job title and name of division or office in which you work.)

2a. Name and address of your business or employer (include address of your payroll or human resources department, if different):

2b. If not employed, names and addresses of all sources of income (specify):

3. How often are you paid?

daily weekly every two weeks twice a month monthly other (explain):

4. What is your gross pay each pay period? $

5. What is your take-home pay each pay period? $

6. If your spouse earns any income, give the name of your spouse, the name and address of the business or employer, job title, and division or office (specify):

CASH, BANK DEPOSITS

7. How much money do you have in cash? $

8. 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):

Name and address of financial institution Account number Individual or joint? Balance

PROPERTY

9. List all automobiles, other vehicles, and boats owned in your name or jointly:

Make and year License and vehicle identification (VIN) numbers Value Legal owner if different from registered owner Amount owed

10. List all real estate owned in your name or jointly:

Address of real estate Fair market value Amount owed

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

12. Is anyone holding assets for you? Yes. No. If yes, describe the assets and give the name and address of the person or entity holding each asset (specify):

13. Have you disposed of or transferred any asset within the last 60 days? Yes. No. If yes, give the name and address of each person or entity who received any asset and describe each asset (specify):

14. 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).

15. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME)

(SIGNATURE)

Mail or deliver this completed form to the judgment creditor at the address shown on the Notice of Entry of Judgment form.

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What the Judgment Debtor's Statement of Assets Is

The Judgment Debtor's Statement of Assets is a sworn, court-directed disclosure used after a civil money judgment to inventory the debtor's property, income, bank accounts, and other assets that could satisfy a creditor's judgment. Courts typically require the debtor to provide detailed descriptions, current values, account numbers, and locations so the creditor and the court can determine available remedies such as garnishment, levy, or lien. The form is fact-based, may be filed with a civil court clerk, and becomes part of the post-judgment enforcement record when properly executed and returned.

Why this Statement Matters for Enforcement and Compliance

Completing the Judgment Debtor's Statement of Assets provides the court and judgment creditor accurate information needed to collect on a judgment, avoid enforcement delays, and demonstrate compliance with court orders.

Why this Statement Matters for Enforcement and Compliance

Who completes or reviews this Statement

Each participant has specific duties: debtors must be truthful, creditors must follow local procedure, and courts enforce accuracy through contempt or other sanctions.

  • Judgment debtors required to disclose assets under court order or garnishment proceedings.
  • Judgment creditors and their attorneys who use the disclosure to locate collectible assets.
  • Court clerks, judicial officers, and enforcement officers who verify completeness and schedule follow-up actions.

Core sections included in a professional Statement of Assets

A well-structured Judgment Debtor's Statement of Assets organizes information so reviewers can quickly assess collectible resources and verify supporting documentation.

Identifying Information

Debtor name, aliases, date of birth, Social Security Number or taxpayer ID, current address, and contact details for verification.

Real Property

List owned real estate with addresses, legal descriptions, county recorder parcel numbers, mortgage status, and estimated market values.

Personal Property

Automobiles, boats, equipment, jewelry, and other tangible assets with values, locations, and any encumbrances or liens noted.

Bank and Investment Accounts

Financial institutions, account types, account numbers or last four digits, current balances, and recent transaction dates.

Income and Employment

Current employer, pay frequency, gross/net pay, benefits, and other recurring income such as pensions or rental receipts.

Liabilities and Exemptions

Outstanding secured loans, judgments, claimed exemptions, and a summary of contested items with explanation and supporting documents.

Step-by-step: how to complete and return the Statement

Follow these steps in order to prepare a complete, court-compliant Statement of Assets and to minimize processing delays.

  • 01
    Review the court order: Confirm scope and deadlines.
  • 02
    Gather documentation: Collect bank statements and titles.
  • 03
    Complete each field: Use required formats and truthful entries.
  • 04
    Sign and file: Execute, notarize if needed, then serve or file.

How to prepare the form online and configure the workflow

When using a digital form, set up fields and recipient roles to match court filing and service requirements before sending for signature.

Document format Use PDF or DOCX per court preference.
Required fields Make signature and date mandatory.
Signer authentication Enable email plus SMS or ID verification.
Attach supporting files Require uploads for bank statements and deeds.
Routing order Set debtor first, then creditor or clerk copy.

Where to file, send, and serve the completed Statement

The correct destination varies by jurisdiction; check the ordering court for filing and service instructions and follow local rules.

  • Filing with court: Clerk of the issuing court receives the original.
  • Serving the creditor: Provide copies per the court's service rules.
  • Submitting to enforcement officer: Send to sheriff or levying officer if directed.
  • Retain proof: Keep filed stamped copies and certificates.

Digital signing and technical considerations

Preserve a certified copy and audit trail; when HIPAA or sensitive financial data are included, ensure the platform offers appropriate security and a Business Associate Agreement where required.

  • File types supported: PDF and DOCX accepted.
  • Authentication options: Email, SMS code, ID verification.
  • Audit trail: Timestamp, IP, and action log.

Comparing common eSignature options for submitting the Statement

Platform pricing and feature availability vary; signNow appears first here as a pricing option. Confirm plan details and court acceptance of e-filed records before purchase.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day trial Verify Verify Verify Verify
Bulk Send Yes (Premium plan) Verify Verify Verify Verify
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Verify Verify No No

Penalties and risks for inaccurate or incomplete Statements

Perjury Risk: Criminal exposure if statement is knowingly false
Contempt Sanction: Court may impose fines or jail for noncompliance
Enforcement Acceleration: Creditor may seek immediate garnishment or levy
Loss of Exemptions: Improper claims can be denied by the court
Civil Liability: Multiple penalties and fee shifting possible
Criminal Charges: Intentional concealment can lead to prosecution

Frequent mistakes to avoid when preparing the Statement

  • Omitting accounts or property because of perceived exemption — disclose everything requested to avoid sanctions.
  • Using approximate values or vague descriptions — provide current estimates and supporting documentation when available.
  • Failing to sign, date, or notarize where required — unsigned forms are often rejected by the court.
  • Submitting incomplete supporting documents — attach recent statements, titles, or ledgers to substantiate entries.

Practical tips for accurate and efficient completion

Adopt a methodical approach: gather documents first, then complete fields, verify numerics, and keep a certified copy.

Prepare a complete and accurate asset inventory
List every account, property, vehicle, and valuable item with identifying details; cross-check balances and titles to avoid omissions that could be sanctioned.
Attach current supporting documentation
Include bank statements, pay stubs, deeds, and account statements dated within the period specified by the court to substantiate values and balances.
Use consistent date and currency formats
Enter dates as MM/DD/YYYY and list currency amounts clearly; inconsistent formats can cause processing errors or creditor challenges.
Confirm acceptance of electronic signatures
Before e-signing, verify with the clerk or judge that the court accepts electronic signatures or e-filed submissions to prevent rejection.

Sensitive data elements commonly requested

SSN / TIN: Required for identity matching
Account numbers: Last four digits often sufficient
Property identifiers: Parcel or title numbers
Employer details: Name and payroll information
Contact information: Current mailing address
Supporting documents: Statements and titles

Real-world examples of how the Statement is used

These examples show common enforcement scenarios and the role the Statement plays in each.

Creditor Enforcement Example

A creditor obtains a money judgment and serves a court-ordered asset statement

  • The debtor provides bank statements and titles
  • The creditor locates a garnishable account, obtains a levy, and collects against the judgment after following local rules.

Debtor Compliance Example

A debtor receives a subpoena for a Statement and compiles a full inventory

  • The debtor discloses all accounts and lists exemptions
  • The court reviews the disclosures and limits collection to nonexempt assets while crediting prompt compliance.

Typical timelines and deadlines to watch for

Deadlines vary by court, but timely response to an order for a Statement is essential to avoid sanctions and accelerated enforcement.

Response window to order:

Often 14–30 days; check the court order

Service of filed statement:

Serve creditor and maintain proof of service

Notarization timing:

If required, notarize before filing

Supplemental updates:

Update promptly when new assets are identified

Retention of records:

Keep filed copies until enforcement concludes

Frequently asked questions about the Statement

Answers to common procedural and legal questions that arise when completing and submitting a Judgment Debtor's Statement of Assets.


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