T he documents attached to the statement constitute evidence or receipt of judgment. (Canceled check or money order payable to and endorsed by the judgment creditor, or a cash receipt signed by the judgment creditor.) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF JUDGMENT DEBTOR) Satisfaction of Judgment entered on (date): Date: JUDICIAL OFFICER OR DEPUTY CLERK Approved for Optional Use L1070 (Rev.

March 2019) SMALL CLAIMS DECLARATION AND ORDER OF SATISFACTION OF JUDGMENT Code of Civil Procedure, §§ 116.840, 116.850 ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO.: FOR COURT USE ONLY NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO.: E-MAIL ADDRESS: ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER:  Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045  Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595  North - 1275 N. Berkeley Ave., P. O.

Box 5000, Fullerton, CA 92838-0500  West – 8141 th Street, Westminster, CA 92683-4593 PLAINTIFF: DEFENDANT: SMALL CLAIMS DECLARATION AND ORDER OF SATISFACTION OF JUDGMENT CASE NUMBER: