Form B 1037 – Fill Out and Use This PDF

Form B-1037 (Rev. 8/98)	1998 USBC, Central District of California
Attorney or Party Name, Address, Telephone & FAX Numbers, and California State Bar Number	FOR COURT USE ONLY

Attorney for: __________________________________________

UNITED STATES BANKRUPTCY COURT

CENTRAL DISTRICT OF CALIFORNIA

In re	CASE NO.:
Debtor.	ADVERSARY NO.:
Plaintiff(s)
	AFFIDAVIT AND REQUEST FOR
vs.	ISSUANCE OF WRIT OF
	EXECUTION
Defendant(s).

STATE OF CALIFORNIA, COUNTY OF ___________________________________________________________________________

I, _________________________________________________________________________ hereby state under penalty of perjury that,

1.Judgment for $_______________________________ was entered on ____________________________________________

(date)

in the docket of the above-entitled action in favor of:

____________________________________________________________________________________________________

as Judgment Creditor, and against

____________________________________________________________________________________________________

as Judgment Debtor

(If registered Judgment, fill in below)

Said Judgment was registered herein under Title 28, U.S. Code, Section 1963, being a Judgment which was obtained in Case No. ________________________________________ in the United States Bankruptcy Court, Central District of California and

which has become FINAL.

2.I am the Judgment Creditor, or the attorney for said Judgement Creditor, and request issuance of a Writ of Execution on the Judgment.

3.ACCRUED since the entry of judgment are the following sums:

$__________________________________________ accrued interest, computed at _________________%

(see note)

$__________________________________________ accrued costs

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Form B-1037 (Rev. 8/98)	1998 USBC, Central District of California
In re:	CASE NO.:
Debtor.	ADVERSARY NO.:

Credit must be given for payments and partial satisfaction in the amount of $____________________________ which is to be credited

against the total accrued costs and accrued interest, with any excess credited against the judgment as entered.

I declare under penalty of perjury that the foregoing is true and correct.

Executed at _____________________________________________________________, State of California, this _________________

day of ________________________________________, ____________.

(year)

___________________________________________________

Signature

NOTE: Judgments registered under 28 U.S.C. 1963 bear the rate of interest of the District of origin.

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