SC-105, Request for Court Order and Answer (Small Claims) Completed Form Examples and Samples

View filled-out examples and samples of California Form SC-105, Request for Court Order and Answer (Small Claims). Our detailed guide helps you understand how to complete the SC-105 for actions like a debtor's examination.
SC-105, Request for Court Order and Answer (Small Claims) has a basic Form Complexity Index of 45/100 — Instafill’s AI completes it in under a minute.
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Completed SC-105 form sample requesting a debtor's examination in a California small claims case.

SC-105 Example: Request for Debtor's Examination (Small Claims)

How this form was filled:

This is an example of a completed Form SC-105 used by a judgment creditor to ask the court to order the judgment debtor to appear for an examination. The request specifies that the debtor must bring financial documents to help the creditor collect the money owed from a small claims judgment.

Information used to fill out the document:

  • Court Name: Superior Court of California, County of Los Angeles
  • Court Address: 111 North Hill Street, Los Angeles, CA 90012
  • Plaintiff (Judgment Creditor): Maria Garcia
  • Defendant (Judgment Debtor): David Chen
  • Case Number: 25SCV12345
  • Case Name: Maria Garcia v. David Chen
  • Request Made By: Judgment Creditor (Maria Garcia)
  • Request Is Against: Judgment Debtor (David Chen)
  • Type of Request: Order for Defendant/Debtor to go to court for an examination (Item 3.a.)
  • Documents Requested: Bank statements for the last 6 months, recent pay stubs, vehicle registration(s), property deeds.
  • Proposed Hearing Date: May 15, 2026
  • Proposed Hearing Time: 9:00 AM
  • Department: 5A
  • Date Signed: April 20, 2026

What this filled form sample shows:

  • Clearly identifies the parties as the Judgment Creditor and Judgment Debtor.
  • Correctly fills in the court, case number, and party information at the top of the form.
  • Specifies the request for an Order of Examination by checking box 3.a.
  • Includes a detailed list of financial documents the debtor must bring to the examination.
  • Demonstrates how to propose a hearing date, time, and department for the court to consider.

Form specifications and details:

Form Name: SC-105, Request for Court Order and Answer (Small Claims)
Use Case: Enforcing a judgment by requesting an Order of Examination for the judgment debtor.
Jurisdiction: California Superior Court (Small Claims)
Categories: court claim forms, court forms, small claims forms, UK court forms, VA claim forms
Created: February 03, 2026 04:51 PM
Completed SC-105 form sample requesting a debtor's examination in a California small claims case.