1 Any Attorney or Party

Any Street
2 Any Town, CA 99999

3 555-555-5555

4 Any Attorney or Party

8 Superior Court of the State of California

For the County of ______________
9

10

11 ANY PLAINTIFF, ) Case No.

)
12 ) ACKNOWLEDGMENT OF ASSIGNMENT OF
Plaintiff, ) JUDGMENT
)
13
vs. )
)
14
ANY DEFENDANT, )
)
15
Defendant. )
)
16 )
)
17 )
18

19 TO THE COURT AND ALL INTERESTED PARTIES:

20 PLEASE TAKE NOTICE that the Plaintiff and Judgment Creditor, ____________________,
21 does hereby acknowledge assignment, of all interest, right and title to the judgment against Defendant
22
and Judgment Debtor, _______________________, entered and filed in this matter on ________ in
23
the total sum of $_____, plus post Judgment interest to ______________________.
24

25
Plaintiff and Judgment Creditors name and current address is:

26 Any Judgment Creditor

27 Any Street
28
Any Town, CA 99999

- 1 -
ACKNOWLEDGMENT OF ASSIGNMENT OF JUDGMENT
 1 The Judgment Debtors name and last known address is:
2 Any Judgment Debtor
3
Any Street
4
Any Town, CA 99999
5

6
I declare under penalty of perjury under the laws of the State of California that the foregoing
7
is true and correct.
8

10 Dated: ________________ _________________________________________________

ANY PLAINTIFF
11

12

13

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15

16

17

18

19

20

21

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23

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25

26

27

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- 2 -
ACKNOWLEDGMENT OF ASSIGNMENT OF JUDGMENT
 1
A notary public or other officer completing this certificate verifies
2 only the identity of the person signing the document to which this
certificate is attached, and not the truthfulness, accuracy, or __ __
3 validity of that document.
4
NOTARY ACKNOWLEDGMENT
5
State of CALIFORNIA
6

7 County of ______________

8 On _____________ before me, _______________________________________, a notary

9
public of the State of California, personally appeared _____________, who proved to me on the basis
10
of satisfactory evidence to be the person whose name is subscribed to the within instrument and
11
acknowledged to me that he executed the same in her authorized capacity, and that by his signature
12

13 on the instrument the person, or the entity upon behalf of which the person acted, executed the

14 instrument.
15 I certify under PENALTY OF PERJURY under the laws of the State of California that the
16
foregoing paragraph is true and correct.
17
WITNESS my hand and official seal.
18

19

20 Signature _______________________________
21 My commission expires __________________.
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ACKNOWLEDGMENT OF ASSIGNMENT OF JUDGMENT