sc106_001

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Name and Address of Court: To keep other people from seeing what you entered on your form, please press the Clear This Form button at the end of the form when finished. SMALL CLAIMS CASE NO. DEFENDANT/DEMANDADO (Name, address, and telephone number of each): PLAINTIFF/DEMANDANTE (Name, address, and telephone number of each): Telephone No.: Telephone No.: Short Title: Docket No. Telephone No.: NOTICE OF APPEARANCE Telephone No.: See attached sheet for additional plaintiffs and defendants. Appearance for (provide name of party): 1. 2. My request is based on< this declaration, the courtwill argue appeal, if other than counseldeclaration (Form EJ-165—obtain from court records, my completed financial of record: Name of attorney who clerk) attached to this declaration, and any other evidence that may be presented. < Date of arguing attorney’s admission to this Court (month, day, year): Other Federal/State Bar admissions: (month, day, year): Status of Party: ( ) Cross-Appellee/Cross Respondent ( ) Appellant/Petitioner REQUEST TO PAY JUDGMENT IN) INSTALLMENTS ( ( ) Appellee/Respondent Intervenor ( ) Amicus Curiae ( ) Cross-Appellant/Cross-Petitioner I request the court to allow me to make installment payments on the judgment entered against me in this ( ) Other (Specify): manner stated below. ( ) An attorney will argue this appeal. case in the amount and NOTE: YOU MUST ATTACH A COMPLETED FINANCIAL DECLARATION WITH THIS REQUEST TO MAKE INSTALLMENT PAYMENTS. < 3. Judgment was entered( against me inse litigant whoon not an attorney. in the amount of (specify): $ ) I am a pro this matter is (date): 4. Payment of the entire amount of the judgment atse litigant. will be a hardship on me because (specify): ( ) I am an incarcerated pro one time TIME REQUEST ( ) Oral argument is not desired. ( ) minutes payments Oral argument is desired.in the requests of (specify): $ or multi-co-parties toward the judgment Party amount request a total of minutes to be apportioned as follows: 5. I can and will make month. per week 6. I request the court to order that I make payments as specified in item 5 and that execution on the judgment be stayed as long as I If more than 20 make payments according to this schedule.minutes per side is requested, set forth reasons: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. AVAILABILITY OF COUNSEL/PRO SE LITIGANT Date: I understand that the person who will argue the appeal must be ready at any time during or after the week of argument which appears on the scheduling order. (TYPE OR PRINT NAME) (SIGNATURE OF JUDGMENT DEBTOR) . . . . . . . . . . . . . . . . . . . (. . . . . I. know.of . . dates which would be inconvenient. . . . . no . . . . . . . . . . . . . . ) ( ) I request that the argument of this appeal not be calendared for the following dates, which are inconvenient. I have included religious holidays. NOTICE TO JUDGMENT CREDITOR The judgment debtor has requested the court to allow payment of the judgment in installments. Complete the following and COUNSEL OR PRO SE LITIGANT MUST ADVISE THE COURT IN WRITING OF ANY CHANGE IN AVAILABILITY. FAILURE return this form to the court DO SO 10 days. You will be notified ofCOURT IN DECIDINGor, if a hearing is necessary, the date ON TO within MAY BE CONSIDERED BY THE the court's order, MOTIONS FOR ADJOURNMENT BASED of UNAVAILABILITY. the hearing. 1. I am the judgment creditor, and I have read and considered the judgment debtor's request to make installment payments on the RELATED CASES judgment. ( ) I am willing to accept thecase has not been before this Court previously. 2. a. This payment schedule the judgment debtor has requested. ( ) This case has been amount Court previously. week per b. I am willing to accept payments in thebefore thisof (specify): $ The short title, docket number and citation are:month. c. I am opposed to accepting installment payments because (specify): ( ) Matters related to this appeal or involving the same issue have been or presently are before this Court. The short titles, docket numbers and citations are: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Signature of counsel of record or pro se litigant: Date: Signature of counsel who will argue the appeal, if different: .............................................. Type or (TYPE OR PRINT NAME) Print Name Type (SIGNATURE OF JUDGMENT CREDITOR) or Print Name Name of Firm: Address: SEE REVERSE FOR HEARING DATE, IF ANY. (Continued on reverse) Date: Telephone: Date: Code of Civil Procedure, § 116.620(b) American LegalNet, Inc. www.USCourtForms.com Telephone: Form Approved by the Judicial Council of California SC-106 [New January 1, 1992] July 2000 REQUEST TO PAY JUDGMENT IN INSTALLMENTS (Small Claims) NOTICE OF MOTION A hearing will be held on this request as follows: DATE DAY TIME PLACE HEARING DATE FECHA DEL JUICIO 1. 2. 3. 4. COURT ORDER 1. 2. The judgment debtor shall pay the full amount of the judgment immediately. The judgment debtor may pay the judgment as follows: a. (If initial lump sum ordered) Pay $ on (date): b. Pay $ or more on (specify): of every (specify): until the judgment is fully paid. (Missed payments) On the filing of an affidavit or declaration by the judgment creditor showing that any payment due has not been paid, this order shall be set aside and the clerk may issue a writ of execution immediately, without further order of the court. 3. Date: (JUDGE OR COMMISSIONER) WARNING: IF YOU MISS A PAYMENT, THE BALANCE OWING ON THE JUDGMENT WILL BECOME DUE IMMEDIATELY. CLERK'S CERTIFICATE OF MAILING—NOTICE TO JUDGMENT CREDITOR I certify that I am not a party to this action. This Notice to Judgment Creditor was mailed first class, postage prepaid, in a sealed envelope to the responding party at the address shown on the reverse. The mailing and this certification occurred , California, at (place): on (date): Clerk, by , Deputy CLERK'S CERTIFICATE OF MAILING — NOTICE OF MOTION I certify that I am not a party to this action. This Notice of Motion was mailed first class, postage prepaid, in a sealed envelope to the responding party at the address shown on the reverse. The mailing and this certification occurred , California, at (place): on (date): Clerk, by , Deputy CLERK'S CERTIFICATE OF MAILING — COURT ORDER I certify that I am not a party to this action. This Court Order was mailed first class, postage prepaid, in a sealed envelope to the responding party at the address shown on the reverse. The mailing and this certification occurred at (place): , California, on (date): Clerk, by , Deputy SC-106 [New January 1, 1992] REQUEST TO PAY JUDGMENT IN INSTALLMENTS (Small Claims) For your protection and privacy, please press the Clear This Form button after you have printed the form. 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