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(CITY OF SAN LEANDR01 OCT 2 4 2022 1 County of Alameda {{ NAME AND ADDRESS OF COURT: 24405 Amador Street SMALL CLAIMS CASE NL ITY CLERK'S 0 FLCF j SC-134 Hayward, CA 94544 FOR COURT USE ONLY F- PLAINTIFF/DEMANDANTE (name, address, and telephone numberofeach): � ENDORSED �YYtr�G;luc\ (_A(- �C51()) (; FILED j 514y 2j`'r Sr I 3, CGtcicnct CH CfyL t l_ I ALAMEDA COUNTY Telephone No.: J y r1 f DEFENDANT/DEMANDADO (name, address, and telephone numberofeach): O C T 1 2 2022 ,n6T� S: �eu1 CL=RK OF THE ,SUPERIOR OURT Telephone No.: 0 See attached sheet for additional plaintiffs and defendants. �, !a J D Ut ORDER TO PRODUCE STATEMENT OF ASSETS 1. TO JUDGMENT DEBTOR (name): CAND TO APPEAR FOR EXAMINATION t 2. YOU ARE ORDERED a. to pay the judgment and file proof of payment (a canceled check or money order or cash receipt, and a written declaration that shows full payment of the judgment, including postjudgment costs and interest) with the court before the hearing date shown in the box below, OR b. to (1) personally appear in this court on the date and time shown below, and (2) bring with you a completed Judgment Debtor's Statement of Assets (form SC-133). At the hearing you will be required to . answer questions about your income and assets; and . explain why you did not complete and mail form SC-133 to judgment creditor in a timely manner. (You should haue sent it within 30 days after the Notice of Entry of Judgment (form SC-1 30) was mailed or handed to you by the of ve DEC 3 0 20+g�� Name and address of court if different from abo'-- Hearing Date: c� Time: Date Dept.: j I Room: If you fail to appear and have not paid the judgment, Si usted no se presenta y no ha pagado e!;r onfd del fallo including postjudgment costs and interest, a bench warrant judicial, inclusive las costal a intereges posteriores al fallo, may be issued for your arrest, you may be held in contempt la torte puede expedir una Orden de detention contra usted, of court, and you may be ordered to pay penalties. declararle en desacato y ordenar clue pague multas. 3. This order may be served by a sheriff, marshal, or registered process server. Date: OCT 12 / CHARLES A. (SIGNATURE OF JUDGE) APPLICATION FOR THIS ORDER (See Instructions on reverse) A. Judgment creditor (the person who won the case) (name): P��Ct�y Emma-nv? 1 L-�\r`�i applies for an order requiring judgment debtor (the person or business who lost the case and owes money) (name): C (IJ SU,) to (1) pay the judgment or (2) personally appear in this court with a completed Judgment Debtor's Statement of Assets (form SC-133), explain why judgment debtor did not pay the judgment or complete and mail form SC-133 to judgment creditor within 30 days after the Notice of Entry of Judgment was mailed or handed to judgment debtor, and answer questions about judgment debtor's income and assets. B. I, judgment creditor, state the following: (1) Judgment debtor has not paid the judgment. (2) Judgment debtor either did not file an appeal or the appeal has been dismissed or judgment debtor lost the appeal. (3) Judgment debtor either did not file a motion to vacate or the motion to vacate has been denied. (4) More than 30 days have passed since the Notice of Entry of Judgment was mailed or delivered to judgment debtor. (5) 1 have not received a completed Judgment Debtor's Statement of Assets from judgment debtor. (6) The person to be examined resides or has a place of business in this county or within 150 miles of the place of examination I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Z /161 1 PE O PRINT NAME) ( RA — The county provides small claims advisor services free of charge Form Adopted for Mandatory Use APPLICATION AND ORDER TO PRODUCE STATEMENT Judicial Council of California SC-134 [Rev. January 1, 20171 OF ASSETS AND TO APPEAR FOR EXAMINATION (Small Claims) 1 of 2 Code of Civil Procedure, §§ 116.820. 116,830,708.170 www.courts.ca.gov