Fill and Sign the Sc 221 Response to Request to Make Payments Small Claims Form

Read both sides of Form SC-220, Reque st to Make Paym ents, befor e you fill out this form. My name is: The judgm ent deb tor who aske d to make payments in this case is: SC- 221 New July 1, 2010, Op tional Form Code o f Civ il Procedure, § 11 6.570, Cal. Rule s of Court, r ule 3.210 7 SC-221 R esp onse to Request to Make Payments Response to Requ est to Make Payments (Small Clai ms) Other pa ymen t sched ule (specify): b. c. The total amount of payments is $ , which includes interest on the unpaid bal ance of the judgment. The actual amount of that inter est may be differen t if th e pay men ts are made l ate or earl y. Attach a page that shows how you calculated the interest and write “SC-221, Item 4c” at the top. e c d f g Clerk stamps her e when for m is filed. Case Nu mber: Fill in your case number and case name: Fill in the court name and street addr ess: Su peri or Co urt of Ca liforn ia, Coun ty o f Case Name: Phone: (Nam e): I agree to acc ept the payment plan in the Request. I agree to accept a different payment plan (check and complete al l th at a pply): Payments of $ , a. d. The t otal amount of payments is the same as the judgme nt. If all payments are made in full and on time, no interest will be ow ed on th e judg men t, an d the judgment wil l be paid in full. Mailing address: Important! If any payment is not made in full and on time, you may notify the court t o cancel the payment plan and the en tire unpaid balance wi ll become due and collectible. Starting (date): , unti l (date o f final pa yment): ; I am a judgment creditor in this small claims case. e. Other (specify): I do not agree to accept payments be cause (expla in): If your answer will not fi t in the space below, check this box and attach y our answer on a separat e sheet of paper. Write “SC-2 21, It em 5” at the top. on the day of each (month, week , other) : I de clare und er pen alty of perju ry un der the laws of the State of Cali fornia that the informati on ab ov e is true an d co rre ct. Da te: Type or pr int your nam e Sign her e amou nt of final pay men t: $ Judicial Council of California