MONEY JUDGMENT
INFORMATION STATEMENT
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MONEY JUDGMENT
INFORMATION STATEMENT
A.R.S. § 33-967
This information is recorded to comply with
A.R.S. § 33-967.
1. The correct name and last known address
of each judgment debtor is as follows: If this information is not known,
this box is checked: [ ]
2. The address at which each judgment
debtor received the summons by personal service or by mail is: If this
information is not known, this box is checked: [ ]
3. The name and address of the judgment
creditor is: If this information is not known, this box is checked: [ ]
4. The amount of the judgment or decree as
entered or as most recently amended is: If this information is not known,
this box is checked: [ ]
5. The judgment debtor's Social Security
Number is: If this information is not known, this box is checked: [ ]
6. The judgment debtor's date of birth is:
If this information is not known, this box is checked: [ ]
7. The judgment debtor's driver's license
number is: If this information is not known, this box is checked: [ ]
8. If a stay of enforcement has been
ordered by the court this box is checked: [ ] and the date the stay
expires is:
If this information is not applicable, this
box is checked: [ ]
The person signing this Money Judgment
Information Statement is either the judgment creditor, authorized agent of
the judgment creditor or attorney for the judgment creditor. The
information contained herein is true to the best of the signor's
knowledge, information and belief.
Date: ________________
________________________________________
Signature of judgment creditor, authorized
agent for judgment creditor or attorney for judgment creditor |
