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CASH, BANK DEPOSITS <br />7. How much money do you have in cash? .................................................. $ <br />8. How much other money do you have in banks, savings and loans, credit unions, and other financial <br />institutions either in your own name or jointly (list): <br />Name and address of financial institution Account number Individual or joint? <br />a. <br />L70 <br />C. <br />PROPERTY <br />9. List all automobiles, other vehicles, and boats owned in your name or jointly: <br />Make and year License and vehicle identification (VIN) numbers _ <br />a. $ <br />b. $ <br />C. $ <br />d. $ <br />10. List all real estate owned in your name or jointly: <br />Address of real estate Fair market value <br />b. <br />w <br />$ <br />$ <br />Legal owner if different <br />Value from registered owner _ <br />$ <br />Balance <br />Amount owed <br />Amount owed <br />$ <br />$ <br />OTHER PERSONAL PROPERTY (Do not list household furniture and furnishings, appliances, or clothing.) <br />11. List anything of value not listed above owned in your name or jointly (continue on attached sheet if necessary): <br />Description Value Address where property is located <br />a. $ <br />b. $ <br />C. $ <br />12. Is anyone holding assets for you? 0 Yes 0 No If yes, describe the assets and give the name and address of the <br />person or entity holding each asset (specify): <br />13. Have you disposed of or transferred any asset within the last 60 days? = Yes = No If yes, give the name and <br />address of each person or entity who received any asset and describe each asset (specify): <br />14. If you are not able to pay the judgment in one lump sum, you may be able to make payment arrangements with the person or <br />business who won the case (the judgment creditor). State the amount that you can pay each month: $ , beginning <br />on (date): . If you are unable to agree, you may also ask the court for permission to <br />make installment payments by filing a Request to Make Payments (form SC-220). <br />15.1 declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />Date: <br />(TYPE OR PRINT NAME) (SIGNATURE) <br />Mail or deliver this completed form to the judgment creditor at the address shown on the Notice of Entry of Judgment form. <br />SC-133 [Rev. January 1, 2011] JUDGMENT DEBTOR'S STATEMENT OF ASSETS Page 2 of 2 <br />(Small Claims) <br />For your protection and privacy, please press the Clear <br />This Form button after you have printed the form. I Print thi: form I Save this form Clear this form <br />