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J.P. Struntz & Associates
Woodland Hills, California 91364-1416
Phone: (818) 883-0951; Fax: (818) 888-2558
APPLICATION FOR ASSIGNMENT OF JUDGMENT COLLECTION
Plaintiff(s): __________________________________________________________________
Defendant(s): ________________________________________________________________
Amount of Judgment: _________________________________________________________
Date Judgment Issued: _________________________________________________________
Court in Which Judgment Issued (for example, Los Angeles Superior Court,
Central District): _____________________________________________________________
Amount Previously Collected (if any): ____________________________________________
Were you represented by an attorney? ___________________________________________
Was your judgment awarded by default (defendant not present)? _____________________
Does defendant now reside in another state? _______________________________________
To your knowledge, has the defendant filed for bankruptcy? _________________________
If you have any information regarding Judgment Debtor, please list what type of information.
(Do you have his or her DOB, SSN, bank account info, employer, real property info?):
_____________________________________________________________________________
_____________________________________________________________________________
Your Name:
Address:
Telephone: __________________________________
Fax or Email: __________________________________