Judicial Council of California Form JUD-100, Judgment (Code of Civil Procedure, §§ 585, 664.6) Instructions
This form contains 334 fields organized into 72 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Amount Owed to Cross-Complainant | ||
| Cross-defendant named in item 5c above must pay cross-complainant on the cross-complaint | CheckBox | |
| Damages (1) | Checkbox |
Check this box if the amount owed to the cross-complainant includes damages.
|
| Cross-Complainant Damages | Number |
Enter the amount of damages owed to the cross-complainant.
|
| Prejudgment interest (2) | Checkbox |
Check this box if the amount owed to the cross-complainant includes prejudgment interest at the specified annual rate.
|
| Cross-Complainant Prejudgment Interest Rate | Number |
Enter the annual rate of prejudgment interest owed to the cross-complainant.
|
| Cross-Complainant Prejudgment Interest Amount | Number |
Enter the total monetary amount of prejudgment interest owed to the cross-complainant.
|
| Attorney fees (3) | Checkbox |
Check this box if the amount owed to the cross-complainant includes attorney fees.
|
| Cross-Complainant Attorney Fees | Number |
Enter the amount of attorney fees owed to the cross-complainant.
|
| Costs (4) | Checkbox |
Check this box if the amount owed to the cross-complainant includes costs.
|
| Cross-Complainant Costs | Number |
Enter the amount of costs owed to the cross-complainant.
|
| Other (specify) (5) | Checkbox |
Check this box if the amount owed to the cross-complainant includes other specified amounts.
|
| Cross-Complainant Other Specify | Text |
Specify any other items or categories for which an amount is owed to the cross-complainant.
|
| Cross-Complainant Other Amount | Number |
Enter the monetary amount for other specified items owed to the cross-complainant.
|
| Cross-Complainant Total Amount | Number |
Enter the total amount owed to the cross-complainant.
|
| Amount Owed to Plaintiff | ||
| Defendant Pay Plaintiff on Complaint | Checkbox |
Check this box if the judgment requires the defendant named in item 5a to pay the plaintiff on the complaint.
|
| Damages | Checkbox |
Check this box if the amount owed to the plaintiff includes damages.
|
| Damages Amount | Number |
Enter the amount for damages owed to the plaintiff.
|
| Prejudgment Interest | Checkbox |
Check this box if the amount owed to the plaintiff includes prejudgment interest.
|
| Prejudgment Interest Rate | Number |
Enter the annual percentage rate for prejudgment interest owed to the plaintiff.
|
| Prejudgment Interest Amount | Number |
Enter the total amount of prejudgment interest owed to the plaintiff.
|
| Attorney Fees | Checkbox |
Check this box if the amount owed to the plaintiff includes attorney fees.
|
| Attorney Fees Amount | Number |
Enter the amount for attorney fees owed to the plaintiff.
|
| Costs | Checkbox |
Check this box if the amount owed to the plaintiff includes costs.
|
| Costs Amount | Number |
Enter the amount for costs owed to the plaintiff.
|
| Other (Specify) | Checkbox |
Check this box if the amount owed to the plaintiff includes other specified amounts.
|
| Other (Specify) | Text |
Provide a description for any other amounts owed to the plaintiff not categorized above.
|
| Other Amount | Number |
Enter the amount for other expenses specified as owed to the plaintiff.
|
| Total Amount Owed | Number |
Enter the total amount owed to the plaintiff.
|
| Appearing Defendant Names | ||
| First Appearing Defendant | Checkbox |
Check this box if the first defendant appeared and their name is to be listed below.
|
| Appearing Defendant Name 1 | Text |
Enter the full name of the first defendant who appeared.
|
| Appearing Defendant Name 2 | Text |
Enter the full name of the second defendant who appeared.
|
| Additional Appearing Defendants on Attachment | Checkbox |
Check this box if additional defendants appeared and their names are listed on an attached document (Attachment 3b).
|
| Appearing Defendant's Attorney Names | ||
| Defendant's Attorney 1 | Checkbox |
Check this box if the first defendant's attorney appeared.
|
| Defendant's Attorney 1 Name | Text |
Enter the full name of the first appearing defendant's attorney.
|
| Defendant's Attorney 2 Name | Text |
Enter the full name of the second appearing defendant's attorney.
|
| Appearing Plaintiff Names | ||
| Plaintiff Appearance | Checkbox |
Check this box if a plaintiff appeared at the trial and their name(s) will be listed next to this checkbox.
|
| Appearing Plaintiff Name 1 | Text |
Enter the full name of the first appearing plaintiff.
|
| Appearing Plaintiff Name 2 | Text |
Enter the full name of the second appearing plaintiff.
|
| Plaintiff Appearance Continued | Checkbox |
Check this box if the list of appearing plaintiff names continues on Attachment 3b.
|
| Appearing Plaintiff's Attorney Names | ||
| Plaintiff's Attorney | Checkbox |
Check this box if a plaintiff's attorney appeared in the case.
|
| Appearing Plaintiff's Attorney 1 Name | Text |
Enter the full name of the first appearing attorney for the plaintiff.
|
| Appearing Plaintiff's Attorney 2 Name | Text |
Enter the full name of the second appearing attorney for the plaintiff.
|
| Attorney Fees | ||
| attorney fees - amount | Text | |
| attorney fees - credits acknowledged | Text | |
| attorney fees - balance | Text | |
| Attorney or Party Information | ||
| State Bar Number | Text |
Enter the state bar number of the attorney.
|
| Name | Text |
Provide the full name of the attorney or party without an attorney.
|
| Firm Name | Text |
Enter the name of the law firm.
|
| Street Address | Text |
Provide the street address.
|
| City | Text |
Enter the city.
|
| State | Text |
Provide the state.
|
| Zip Code | Text |
Enter the zip code.
|
| Telephone Number | Text |
Provide the telephone number.
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| Fax Number | Text |
Enter the fax number.
|
| Email Address | Text |
Provide the email address.
|
| Attorney For Name | Text |
Enter the name of the party the attorney represents.
|
| State | Text |
Enter the state of the attorney or party.
|
| Zip Code | Text |
Enter the ZIP code of the attorney or party.
|
| City | Text |
Enter the city of the attorney or party.
|
| Street Address | Text |
Enter the street address of the attorney or party.
|
| Firm Name | Text |
Enter the name of the law firm.
|
| Attorney or Party Name | Text |
Enter the full name of the attorney or the party without an attorney.
|
| State Bar Number | Text |
Enter the State Bar number for the attorney, if applicable.
|
| Telephone Number | Text |
Enter the telephone number of the attorney or party.
|
| Fax Number | Text |
Enter the fax number of the attorney or party.
|
| Email Address | Text |
Enter the email address of the attorney or party.
|
| Attorney For (Name) | Text |
Enter the full name of the party for whom the attorney is appearing.
|
| Attorney or Party Information | Text |
Provide the full name, State Bar number (if applicable), and complete address of the attorney or party who is not represented by an attorney.
|
| Telephone Number | Text |
Enter the telephone number for the attorney or party.
|
| Fax Number (Optional) | Text |
Provide the optional fax number for the attorney or party.
|
| Email Address (Optional) | Text |
Enter the optional email address for the attorney or party.
|
| Attorney Representing | Text |
Provide the name of the party that this attorney is representing.
|
| By Default Judgment Details | ||
| Judgment By Default | Checkbox |
Check this box to indicate that the judgment is being entered by default against the defendant.
|
| By Default - Clerk's Judgment | Checkbox |
Check this box if the default judgment is a Clerk's Judgment, meaning the defendant was sued only on a contract or judgment for the recovery of money.
|
| By Default - Court Judgment | Checkbox |
Check this box if the default judgment is a Court Judgment, requiring the court to consider the case.
|
| By Default Court Judgment - Plaintiff's Testimony and Evidence | Checkbox |
Check this box if, for a default Court Judgment, the court considered the plaintiff's testimony and other evidence.
|
| By Default Court Judgment - Plaintiff's Written Declaration | Checkbox |
Check this box if, for a default Court Judgment, the court considered the plaintiff's written declaration.
|
| Case and Party Information | ||
| Case Number | Text |
Enter the court's case number for this legal action.
|
| Plaintiff/Petitioner Name | Text |
Enter the full name of the plaintiff or petitioner.
|
| Defendant/Respondent Name | Text |
Enter the full name of the defendant or respondent.
|
| Case Information | ||
| Plaintiff | Text |
Provide the full legal name of the plaintiff for this case.
|
| Defendant | Text |
Provide the full legal name of the defendant for this case.
|
| Case Number | Text |
Provide the official case number assigned to this legal proceeding.
|
| Plaintiff/Petitioner Name | Text |
Enter the full name of the plaintiff or petitioner for this case.
|
| Defendant/Respondent Name | Text |
Enter the full name of the defendant or respondent for this case.
|
| Case Number | Text |
Enter the unique case number assigned to this legal matter.
|
| Case Number | Text |
Enter the official case number assigned to this legal proceeding.
|
| Plaintiff/Petitioner Name | Text |
Enter the full name of the plaintiff or petitioner in this case.
|
| Defendant/Respondent Name | Text |
Enter the full name of the defendant or respondent in this case.
|
| Reference or File Number | Text |
Enter any reference or file number associated with this case.
|
| Plaintiff/Petitioner Name | Text |
Enter the full name of the plaintiff or petitioner in this case.
|
| Defendant/Respondent Name | Text |
Enter the full name of the defendant or respondent in this case.
|
| Case Number | Text |
Enter the unique identifying case number for this legal proceeding.
|
| Case Number | ||
| Case Number | Text |
Enter the official case number assigned to this legal proceeding.
|
| Case Number | Text |
Enter the case number for the court.
|
| Case Parties | ||
| Plaintiff Name | Text |
Enter the full name of the plaintiff in this case.
|
| Defendant Name | Text |
Enter the full name of the defendant in this case.
|
| Plaintiff/Petitioner | Text |
Enter the name of the plaintiff or petitioner in this case.
|
| Defendant/Respondent | Text |
Enter the name of the defendant or respondent in this case.
|
| Clerk Details | ||
| Clerk Date | Date |
Enter the date for the clerk's details.
|
| Clerk | Checkbox |
Check this box if the Clerk is signing or attesting to the document at this point.
|
| Clerk's Certificate Date | ||
| Clerk's Certificate Date | Date |
Enter the date of the clerk's certificate.
|
| Clerk's Judgment Options | ||
| Enter clerk’s judgment | CheckBox | |
| For Restitution of Premises Only | Checkbox |
Check this box if the requested clerk's judgment is solely for restitution of the premises and involves issuing a writ of execution, without applying Code of Civil Procedure section 1174(c).
|
| Include All Occupants in Judgment | Checkbox |
Check this box to include all tenants, subtenants, named claimants, and other occupants of the premises in the judgment, asserting that the Prejudgment Claim of Right to Possession was served as required by Code of Civil Procedure section 415.46.
|
| Under Code of Civil Procedure Section 585(a) | Checkbox |
Check this box if the clerk's judgment is being sought under Code of Civil Procedure section 585(a), requiring completion of the declaration under Code Civ. Proc., § 585.5 on the reverse side (item 5).
|
| For Default Previously Entered | Checkbox |
Check this box if the clerk's judgment pertains to a default that was previously entered on a specific date.
|
| Clerk's Judgment (3) Default Entry Date | Date |
Enter the date on which the default was previously entered.
|
| Code of Civil Procedure Section | ||
| Code of Civil Procedure Section 416.10 (corporation) | Checkbox |
Check this box if the service was completed on behalf of a corporation under Code of Civil Procedure section 416.10.
|
| Code of Civil Procedure Section 416.20 (defunct corporation) | Checkbox |
Check this box if the service was completed on behalf of a defunct corporation under Code of Civil Procedure section 416.20.
|
| Code of Civil Procedure Section 416.30 (joint stock company/association) | Checkbox |
Check this box if the service was completed on behalf of a joint stock company or association under Code of Civil Procedure section 416.30.
|
| Code of Civil Procedure Section 416.40 (association or partnership) | Checkbox |
Check this box if the service was completed on behalf of an association or partnership under Code of Civil Procedure section 416.40.
|
| Code of Civil Procedure Section 416.50 (public entity) | Checkbox |
Check this box if the service was completed on behalf of a public entity under Code of Civil Procedure section 416.50.
|
| Code of Civil Procedure Section 415.95 (business organization, form unknown) | Checkbox |
Check this box if the service was completed on behalf of a business organization of unknown form under Code of Civil Procedure section 415.95.
|
| Code of Civil Procedure Section 416.60 (minor) | Checkbox |
Check this box if the service was completed on behalf of a minor under Code of Civil Procedure section 416.60.
|
| Code of Civil Procedure Section 416.70 (ward or conservatee) | Checkbox |
Check this box if the service was completed on behalf of a ward or conservatee under Code of Civil Procedure section 416.70.
|
| Code of Civil Procedure Section 416.90 (authorized person) | Checkbox |
Check this box if the service was completed on behalf of an authorized person under Code of Civil Procedure section 416.90.
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| Code of Civil Procedure Section 415.46 (occupant) | Checkbox |
Check this box if the service was completed on behalf of an occupant under Code of Civil Procedure section 415.46.
|
| Code of Civil Procedure Section Other | Checkbox |
Check this box if the service was completed on behalf of a party under a Code of Civil Procedure section not listed above.
|
| Other Code of Civil Procedure Section | Number |
Provide the Code of Civil Procedure section if it is not among the options listed above.
|
| Complaint Filing Information | ||
| Complaint Filing Date | Date |
Enter the date the complaint or cross-complaint was filed.
|
| Complaint Filed By Name | Text |
Enter the name of the party by whom the complaint or cross-complaint was filed.
|
| Costs | ||
| Costs Amount | Number |
Enter the total amount of costs incurred.
|
| Costs Credits Acknowledged | Number |
Enter the amount of costs acknowledged as credits.
|
| Costs Balance | Number |
Enter the remaining balance for costs.
|
| Court Information | ||
| Superior Court of California, County of | Text | |
| Branch Name | Text |
Provide the specific branch name of the court.
|
| City and Zip Code | Text |
Enter the city and zip code for the court location.
|
| Street Address | Text |
Enter the street address of the court.
|
| Mailing Address | Text |
Provide the mailing address of the court.
|
| Court County | Text |
Enter the name of the county for the Superior Court of California.
|
| Court Street Address | Text |
Enter the street address of the court.
|
| Court Mailing Address | Text |
Enter the mailing address of the court.
|
| Court City and Zip Code | Text |
Enter the city and zip code of the court.
|
| Court Branch Name | Text |
Enter the name of the court branch.
|
| Court Judgment Request | ||
| Request Court Judgment | Checkbox |
Check this box if you are requesting a court judgment against the defendant under Code of Civil Procedure sections 585(b), 585(c), or 989.
|
| Court Judgment Defendant Names | Text |
Enter the names of the defendants against whom a court judgment is requested.
|
| Court Use Only | ||
| Default entered as requested | Radiobutton |
The court should check this box if the default was entered as requested by the applicant on the specified date.
|
| Default NOT entered as requested | Radiobutton |
The court should check this box if the default was NOT entered as requested, and a reason for not entering it is provided.
|
| Clerk's Name | Text |
Enter the name of the clerk.
|
| Default Entered Date | Date |
Enter the date the default was entered as requested.
|
| Reason Default Not Entered | Text |
Provide the reason why the default was not entered as requested.
|
| Cross-Complainant Judgment Details | ||
| For Cross-Complainant | Checkbox |
Check this box if the judgment is entered for a cross-complainant.
|
| Cross-Complainant Name | Text |
Enter the name of each cross-complainant for whom judgment is entered.
|
| Cross-Defendant Name | Text |
Enter the name of each cross-defendant against whom judgment is entered.
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| Continued on Attachment 5c | Checkbox |
Check this box if the judgment details for the cross-complainant or cross-defendant are continued on Attachment 5c.
|
| Cross-Defendant Judgment Details | ||
| Judgment for Cross-Defendant | Checkbox |
Check this box if the judgment is for the cross-defendant (name each).
|
| Cross-Defendant Name | Text |
Enter the name of each cross-defendant for whom judgment is entered.
|
| Cross-Defendant Recovery Details | ||
| Cross-complainant to receive nothing | Checkbox |
Check this box if the cross-complainant is to receive no recovery from the cross-defendant named in item 5d.
|
| Cross-defendant to recover costs | Checkbox |
Check this box if the cross-defendant named in item 5d is to recover costs.
|
| Cross-Defendant Recovered Costs | Number |
Enter the amount of costs the cross-defendant named in item 5d is to recover.
|
| Cross-defendant to recover attorney fees | Checkbox |
Check this box if the cross-defendant named in item 5d is also to recover attorney fees.
|
| Cross-Defendant Recovered Attorney Fees | Number |
Enter the amount of attorney fees the cross-defendant named in item 5d is to recover.
|
| Daily Damages Information | ||
| Daily Damage Rate | Number |
Enter the daily rate for damages that were demanded in the complaint.
|
| Daily Damages Start Date | Date |
Enter the date from which daily damages began.
|
| Declarant Information | ||
| Declarant Date | Date |
Enter the date the declaration is made.
|
| Declarant Printed Name | Text |
Enter the full name of the declarant.
|
| Declaration | ||
| Declare under penalty of perjury | Checkbox |
Check this box if you declare under penalty of perjury that the foregoing information is true and correct.
|
| California sheriff or marshal certification | Checkbox |
Check this box if you are a California sheriff or marshal and certify that the foregoing information is true and correct.
|
| Declaration of Action Type | ||
| Declaration 585.5 | Checkbox |
Check this box to declare that this action falls under Code Civ. Proc., § 585.5 for entry of default.
|
| Action 5a: Is Contract or Installment Sale | Checkbox |
Check this box if this action is on a contract or installment sale for goods or services subject to Civ. Code, § 1801 et seq. (Unruh Act).
|
| Action 5a: Is Not Contract or Installment Sale | Checkbox |
Check this box if this action is not on a contract or installment sale for goods or services subject to Civ. Code, § 1801 et seq. (Unruh Act).
|
| Action 5b: Is Not Conditional Sales Contract | Checkbox |
Check this box if this action is not on a conditional sales contract subject to Civ. Code, § 2981 et seq. (Rees-Levering Motor Vehicle Sales and Finance Act).
|
| Action 5b: Is Conditional Sales Contract | Checkbox |
Check this box if this action is on a conditional sales contract subject to Civ. Code, § 2981 et seq. (Rees-Levering Motor Vehicle Sales and Finance Act).
|
| Action 5c: Is Not Obligation for Goods, Services, Loans, or Credit | Checkbox |
Check this box if this action is not on an obligation for goods, services, loans, or extensions of credit subject to Code Civ. Proc., § 395(b).
|
| Action 5c: Is Obligation for Goods, Services, Loans, or Credit | Checkbox |
Check this box if this action is on an obligation for goods, services, loans, or extensions of credit subject to Code Civ. Proc., § 395(b).
|
| Declaration of Mailing | ||
| 6a Not mailed | Radiobutton |
Check this box if the Request for Entry of Default was not mailed to defendants whose addresses are unknown to the plaintiff or plaintiff's attorney.
|
| 6b Mailed first-class | Radiobutton |
Check this box if the Request for Entry of Default was mailed first-class, postage prepaid, to each defendant's attorney of record or last known address.
|
| Unknown Address Defendants | Text |
Enter the names of the defendants to whom the document was not mailed because their addresses are unknown to the plaintiff or plaintiff's attorney.
|
| Mailing Date | Date |
Enter the date the document was mailed.
|
| Envelope Names and Addresses | Text |
Enter the names and addresses that were shown on the envelopes when the document was mailed.
|
| Defendant Default Information | ||
| Enter default of defendant | Checkbox |
Check this box to request that the clerk enter the default of the named defendant(s).
|
| Default Defendant Names | Text |
Please provide the full name(s) of the defendant(s) for whom default is being entered.
|
| Defendant Judgment Details | ||
| 5b. Judgment For Defendant | Checkbox |
Check this box if the judgment is entered for the defendant(s) named.
|
| Defendant Judgment Name | Text |
Enter the name of each defendant against whom judgment is entered.
|
| Defendant Non-Appearance | ||
| Defendant Did Not Appear At Trial | Checkbox |
Check this box if, after the court trial, the defendant did not appear, and was properly served with notice of trial.
|
| Defendant Recovery Details | ||
| Plaintiff to receive nothing from Defendant 5b | Checkbox |
Check this box if the plaintiff is to receive no money from the defendant named in item 5b.
|
| Defendant 5b recovers costs | Checkbox |
Check this box if the defendant named in item 5b is to recover costs.
|
| Defendant Recovered Costs | Number |
Enter the amount of costs the defendant named in item 5b is to recover.
|
| Defendant 5b recovers attorney fees | Checkbox |
Check this box if the defendant named in item 5b is to recover attorney fees.
|
| Defendant Recovered Attorney Fees | Number |
Enter the amount of attorney fees the defendant is to recover.
|
| Demand of Complaint Judgment | ||
| Demand of Complaint Amount | Number |
Enter the total amount demanded in the complaint.
|
| Demand of Complaint Credits Acknowledged | Number |
Enter the total amount of credits acknowledged for the demand of complaint.
|
| Demand of Complaint Balance | Number |
Enter the remaining balance for the demand of complaint after deducting credits.
|
| Documents Served | ||
| Summons | Checkbox |
Check this box if a summons was among the documents served.
|
| Complaint | Checkbox |
Check this box if a complaint was among the documents served.
|
| Alternative Dispute Resolution (ADR) Package | Checkbox |
Check this box if an Alternative Dispute Resolution (ADR) package was among the documents served.
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| Civil Case Cover Sheet | Checkbox |
Check this box if a Civil Case Cover Sheet was served, which is typically for complex cases.
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| Cross-Complaint | Checkbox |
Check this box if a cross-complaint was among the documents served.
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| Other Documents | Checkbox |
Check this box if other documents not explicitly listed were served and specify them in the adjacent field.
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| Other Documents Served | Text |
Enter a description of other documents that were served.
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| First Declaration | ||
| First Declaration Date | Date |
Enter the date this declaration was made.
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| First Declaration Declarant's Name | Text |
Enter the full typed or printed name of the individual making this declaration.
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| General | ||
| Print this form | Button | |
| Save this form | Button | |
| Clear this form | Button | |
| For your protection and privacy, please press the Clear This Form button after you have printed the form | Button | |
| Clear this form | Button | |
| Save this form | Button | |
| Print this form | Button | |
| For your protection and privacy, please press the Clear This Form button after you have printed the form | Button | |
| Print this form | Button | |
| Save this form | Button | |
| Clear this form | Button | |
| For your protection and privacy, please press the Clear This Form button after you have printed the form | Button | |
| General Damages | ||
| General Damages Amount | Number |
Enter the amount for general damages.
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| General Damages Credits Acknowledged | Number |
Enter the credits acknowledged for general damages.
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| General Damages Balance | Number |
Enter the balance for general damages.
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| Interest | ||
| Interest Amount | Number |
Enter the total amount of interest.
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| Interest Credits Acknowledged | Number |
Enter the amount of interest credits acknowledged.
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| Interest Balance | Number |
Enter the remaining balance of the interest.
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| Judgment Debtor Details | ||
| Judgment Debtor is Natural Person | Checkbox |
Check this box if the judgment debtor is a natural person, as provided in the relevant statute.
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| Judgment Debtor Medical Expenses Amount | Number |
Enter the amount of the judgment that is on a claim related to medical expenses.
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| Judgment Debtor Personal Debt Amount | Number |
Enter the amount of the judgment that is on a claim related to personal debt.
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| Judgment Debtor Consumer Debt Included Amount | Number |
Enter the amount of the personal debt judgment that includes consumer debt.
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| Judgment Entry Authority | ||
| The Court | Checkbox |
Check this box if the judgment is entered by the court.
|
| The Clerk | Checkbox |
Check this box if the judgment is entered by the clerk.
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| Judgment Type | ||
| By Clerk | Checkbox |
Check this box if the judgment is entered by the clerk.
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| By Court | Checkbox |
Check this box if the judgment is entered by the court.
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| By Default | Checkbox |
Check this box if the judgment is entered by default.
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| On Stipulation | Checkbox |
Check this box if the judgment is entered based on a stipulation.
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| After Court Trial | Checkbox |
Check this box if the judgment is entered after a court trial.
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| Defendant Did Not Appear at Trial | Checkbox |
Check this box if the judgment is entered because the defendant did not appear at trial.
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| Judicial Officer Details | ||
| Judicial Officer Date | Date |
Enter the date of the judicial officer's action or signature.
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| Clerk, by | Checkbox |
Check this box if the judgment is being entered by the Clerk.
|
| Legal Assistant Declaration | ||
| Legal document assistant or unlawful detainer assistant information is on the reverse | Checkbox |
Check this box if legal document assistant or unlawful detainer assistant information is on the reverse side of the form, especially if the form is filed in an unlawful detainer case.
|
| Legal Document Assistant Information | ||
| Did Give Assistance | Radiobutton |
Check this box if a legal document assistant or unlawful detainer assistant did, for compensation, give advice or assistance with this form.
|
| Did Not Give Assistance | Radiobutton |
Check this box if a legal document assistant or unlawful detainer assistant did not, for compensation, give advice or assistance with this form.
|
| Assistant's Name | Text |
Enter the name of the legal document assistant or unlawful detainer assistant.
|
| Assistant's Street Address, City, and Zip Code | Text |
Enter the complete street address, city, and zip code of the legal document assistant or unlawful detainer assistant.
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| Assistant's Telephone Number | Text |
Enter the telephone number of the legal document assistant or unlawful detainer assistant.
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| Assistant's County of Registration | Text |
Enter the county where the legal document assistant or unlawful detainer assistant is registered.
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| Assistant's Registration Number | Text |
Enter the registration number of the legal document assistant or unlawful detainer assistant.
|
| Assistant's Registration Expiration Date | Date |
Enter the date when the legal document assistant's or unlawful detainer assistant's registration expires.
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| Memorandum of Costs | ||
| Clerk's Filing Fees | Number |
Enter the amount for the clerk's filing fees.
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| Process Server's Fees | Number |
Enter the amount for the process server's fees.
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| Other Costs Specify Type | Text |
Specify the type of other costs being claimed.
|
| Other Costs Amount | Number |
Enter the amount for the specified other costs.
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| Additional Cost Item Specify Type | Text |
Specify the type of this additional cost item.
|
| Additional Cost Item Amount | Number |
Enter the amount for this additional cost item.
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| Total Memorandum of Costs | Number |
Enter the total amount of all claimed costs in this memorandum.
|
| Costs and disbursements are waived | Checkbox |
Check this box if the costs and disbursements are being waived.
|
| On Stipulation Judgment Details | ||
| 2. On Stipulation | Checkbox |
Check this box if the judgment is being entered based on an agreement (stipulation) between the plaintiff and defendant, and the court approved the stipulated judgment.
|
| 2b. Signed Written Stipulation Filed | Checkbox |
Check this box if a signed written stipulation related to the judgment was filed in the case.
|
| 2c. Stipulation Stated In Open Court | Checkbox |
Check this box if the stipulation for the judgment was stated verbally in open court.
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| 2c. Stipulation Stated On The Record | Checkbox |
Check this box if the stipulation for the judgment was stated and recorded on the official court record.
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| Other Means of Service | ||
| Other Means of Service | Checkbox |
Check this box if service was performed by means other than mail with acknowledgment of receipt, and then specify the means of service and authorizing code section.
|
| Other Means of Service Details | Text |
Provide a detailed description of the other means of service used and the authorizing code section.
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| Other Specification | ||
| 8. Other (specify) | Checkbox |
Check this box if there are other specifications to be provided for item 8.
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| Other Specification | Text |
Enter the specific details for the 'Other' category.
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| Party and Person Served | ||
| 3a. Party Served Name | Text |
Enter the name of the party served as it is shown on the documents served.
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| 3b. Person Served as Agent | Checkbox |
Check this box if the person served is an individual acting as an authorized agent for an entity, who is not the party named in item 3a and not a person for whom substituted service was made under item 5b.
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| 3b. Person Served Name and Relationship | Text |
Enter the name of the person served on behalf of an entity or as an authorized agent, and their relationship to the party named in item 3a.
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| Person Served Details | ||
| Served as Individual Defendant | Checkbox |
Check this box if the notice was completed for an individual defendant.
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| Served as Fictitious Name Defendant | Checkbox |
Check this box if the notice was completed for a person sued under a fictitious name.
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| Fictitious Name of Person Served | Text |
Enter the fictitious name under which the person was sued.
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| Served as Occupant | Checkbox |
Check this box if the notice was completed for an occupant.
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| Served On Behalf Of | Checkbox |
Check this box if the notice was completed on behalf of another entity or person, as specified.
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| Notice On Behalf Of | Text |
Specify on whose behalf the 'Notice to the Person Served' was completed.
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| Personal Service Details | ||
| by personal service | Checkbox |
Check this box if you personally delivered the documents listed in item 2 to the party or person authorized to receive service of process.
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| Personal Service Date | Date |
Enter the date when the documents were personally delivered to the party or authorized person.
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| Personal Service Time | Time |
Enter the time when the documents were personally delivered to the party or authorized person.
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| Plaintiff Judgment Details | ||
| For Plaintiff | Checkbox |
Check this box if the judgment is for the plaintiff(s).
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| Plaintiff Name | Text |
Enter the full name of each plaintiff for whom the judgment is entered.
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| Defendant Name | Text |
Enter the full name of each defendant against whom the judgment is entered.
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| Continued on Attachment 5a | Checkbox |
Check this box if the details for the judgment for the plaintiff are continued on Attachment 5a.
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| Reasons for Nonmilitary Status Declaration | ||
| Search Results from DMDC | Checkbox |
Check this box if official search results from the DMDC website confirm the defendant/respondent is not in U.S. military service.
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| Regular Communication | Checkbox |
Check this box if you are in regular communication with the defendant/respondent and are aware they are not in U.S. military service.
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| Defendant/Respondent Stated Nonmilitary | Checkbox |
Check this box if you recently contacted the defendant/respondent and they verbally confirmed they are not in U.S. military service.
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| Defendant/Respondent Discharged | Checkbox |
Check this box if you know the defendant/respondent was discharged from U.S. military service.
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| Discharge Date | Date |
Enter the date the defendant/respondent was discharged from U.S. military service.
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| Not Eligible for Military Service | Checkbox |
Check this box if the defendant/respondent is not eligible to serve in the U.S. military for a specific reason, detailed below.
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| Incarcerated | Checkbox |
Check this box if the defendant/respondent is not eligible to serve in the U.S. military because they are incarcerated.
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| Business Entity | Checkbox |
Check this box if the defendant/respondent is not eligible to serve in the U.S. military because they are a business entity.
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| Other Reason for Nonmilitary Status | Checkbox |
Check this box if there is another unlisted reason for the defendant/respondent's nonmilitary status and specify it.
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| Other Nonmilitary Status Reason | Text |
Provide other reasons not listed for why the defendant/respondent is not in the U.S. military service.
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| Request for Application | ||
| Entry of Default | Checkbox |
Check this box if you are requesting an entry of default.
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| Clerk's Judgment | Checkbox |
Check this box if you are requesting a clerk's judgment.
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| Court Judgment | Checkbox |
Check this box if you are requesting a court judgment.
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| Second Declaration | ||
| Second Declaration Date | Date |
Enter the date of the second declaration.
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| Second Declaration Printed Name | Text |
Enter the typed or printed name of the declarant for the second declaration.
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| Server Information | ||
| Server Name | Text |
Enter the full name of the person who served the papers.
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| Server Address | Text |
Enter the full mailing address of the person who served the papers.
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| Server Telephone Number | Text |
Enter the telephone number of the person who served the papers.
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| Server Status | ||
| 1) Not a Registered California Process Server | Checkbox |
Check this box if the person who served papers is not a registered California process server.
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| 2) Exempt from Registration | Checkbox |
Check this box if the person who served papers is exempt from registration under Business and Professions Code section 22350(b).
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| 3) A Registered California Process Server | Checkbox |
Check this box if the person who served papers is a registered California process server.
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| Registered Process Server - Owner | Checkbox |
Check this box if the registered California process server is an owner.
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| Registered Process Server - Employee | Checkbox |
Check this box if the registered California process server is an employee.
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| Registered Process Server - Independent Contractor | Checkbox |
Check this box if the registered California process server is an independent contractor.
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| Server Registration Number | Text |
Enter the registration number of the California process server.
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| Server Registration County | Text |
Enter the county where the California process server is registered.
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| Service Addendum | ||
| Additional Service Page Attached | Checkbox |
Check this box if an additional page describing the service provided is attached to this document.
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| Service Address | ||
| Service Address | Text |
Enter the complete address where the party was served.
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| Service by Mail Details | ||
| Service by Mail and Acknowledgment | Checkbox |
Check this box if you mailed the documents listed in item 2 to the party at the address shown in item 4 by first-class mail, postage prepaid, with acknowledgment of receipt of service.
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| Service by Mail Date | Date |
Provide the date when the documents were mailed.
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| Service by Mail City | Text |
Provide the city from which the documents were mailed.
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| (3) With Notice and Acknowledgment Copies | Checkbox |
Check this box if the mailing included two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed to you.
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| (4) To an Address Outside California with Return Receipt | Checkbox |
Check this box if the documents were mailed to an address outside California and a return receipt was requested.
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| Service Fee | ||
| Service Fee Amount | Number |
Enter the total fee charged for the service.
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| Signature Block | ||
| Signature Date | Date |
Enter the date the form was signed.
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| Signer Name | Text |
Enter the full name of the person who served the papers, sheriff, or marshal.
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| Signature of Plaintiff or Attorney | ||
| type or print name | Text | |
| Signature Date | Date |
Enter the date the plaintiff or attorney signed the document.
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| Special Damages | ||
| Special Damages Amount | Number |
Enter the amount for special damages.
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| Special Damages Credits Acknowledged | Number |
Enter the credits acknowledged for special damages.
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| Special Damages Balance | Number |
Enter the balance for special damages.
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| Statement of Decision | ||
| Statement of Decision | Checkbox |
Check this box if a statement of decision was given.
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| Statement of Decision Was Not Given | Checkbox |
Check this box if a statement of decision was not given.
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| Statement of Decision Was Requested | Checkbox |
Check this box if a statement of decision was requested.
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| Stipulated Judgment | ||
| Stipulated Judgment | Checkbox |
Check this box if the judgment is entered according to the stipulation of the parties.
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| Substituted Service Details | ||
| Substituted Service | Checkbox |
Check this box if the service was performed by substituted service.
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| Substituted Service Date | Date |
Enter the date when the substituted service was made.
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| Substituted Service Time | Time |
Enter the time when the substituted service was made.
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| Substituted Service Recipient Name and Relationship | Text |
Provide the name and title or relationship of the person who received the documents during substituted service, as indicated in item 3.
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| Substituted Service (1) Business | Checkbox |
Check this box if the documents were left with a person at least 18 years of age in charge at the business office or usual place of business of the person to be served.
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| Substituted Service (2) Home | Checkbox |
Check this box if the documents were left with a competent household member at least 18 years of age at the dwelling house or usual place of abode of the party.
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| Substituted Service (3) Physical Address Unknown | Checkbox |
Check this box if the documents were left with a person at least 18 years of age in charge at the usual mailing address (excluding a P.O. Box) when the physical address of the person to be served was unknown.
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| Substituted Service (4) Mailed Copies | Checkbox |
Check this box if, after leaving the copies, you thereafter mailed copies of the documents by first-class, postage prepaid to the person served at the place where the copies were left, as per Code Civ. Proc., § 415.20.
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| Mailing Date | Date |
Enter the date when the documents were mailed by first-class, postage prepaid after substituted service.
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| Mailing City | Text |
Enter the city from which the documents were mailed after substituted service.
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| Declaration of Mailing Attached | Checkbox |
Check this box if a declaration of mailing is attached for the documents that were mailed.
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| Substituted Service (5) Declaration of Diligence | Checkbox |
Check this box if you attach a declaration of diligence stating the actions taken to first attempt personal service before resorting to substituted service.
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| Superior Court Information | ||
| Superior Court County | Text |
Enter the name of the county where the Superior Court of California is located.
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| Superior Court Street Address | Text |
Enter the street address for the Superior Court.
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| Superior Court Mailing Address | Text |
Enter the mailing address for the Superior Court.
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| Superior Court City and Zip Code | Text |
Enter the city and zip code for the Superior Court.
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| Superior Court Branch Name | Text |
Enter the branch name of the Superior Court.
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| Total Judgment | ||
| TOTALS - credits acknowledged | Text | |
| Total Judgment Credits Acknowledged | Number |
Enter the total amount of credits acknowledged against the judgment.
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| Total Judgment Balance | Number |
Enter the total balance of the judgment.
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| Trial Details | ||
| After Court Trial | Checkbox |
Check this box if the judgment was entered after a court trial where the jury was waived and the court considered the evidence.
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| Trial Date and Time | Date |
Enter the date and time when the case was tried.
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| Judicial Officer Name | Text |
Enter the name of the judicial officer before whom the case was tried.
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