Judgment Creditor's Name *

First Name

Last Name

Phone *

(###)

###

####

Type of Judgment *

Small Claims Judgment

General Civil - Default Judgment

General Civil - Judgment by Hearing

Domestic (Divorce/Family) Judgment

Landlord-Tenant Money Judgment

Criminal Restitution Order

Other Judicial Order to Pay

Your Relation to this Judgment *

The Judgment is in my name / my business.

I'm an attorney, and the Judgment is for my client.

I purchased / was been assigned this Judgment.

Other

Collection Efforts so far

No attempts to collect this Judgment

Filed some garnishments, liens, etc.

Collected some money, but not all

Judgment is placed with another lawyer

Unsure as to any collection efforts

Date of Judgment Entry

What is the date of the judgment?

MM

DD

YYYY