JUDGMENT CREDITOR (the person or business who won the case) (name):
JUDGMENT DEBTOR (the person or business who lost the case and owes money) (name):
SMALL CLAIMS CASE NO.:
The small claims court has ruled that you owe money to the judgment creditor.
You may appeal a judgment against you only on the other party's claim. You may not appeal a judgment against you on your
claim.
If you appeared at the trial and you want to appeal, you must file a Notice of Appeal (form SC-140) within 30 days after the
date the Notice of Entry of Judgment (form SC-130 or SC-200) was mailed or handed to you by the clerk.
b. If you did not appear at the trial, before you can appeal, you must first file a Notice of Motion to Vacate Judgment and
Declaration (form SC-135) and pay the required fee within 30 days after the date the Notice of Entry of Judgment was mailed
or handed to you. The judgment cannot be collected until the motion is decided. If your motion is denied, you then have 10
days after the date the notice of denial was mailed to file your appeal.
Unless you pay the judgment or appeal the judgment or file a motion to vacate, you must fill out this form and mail it to
the person who won the case within 30 days after the Notice of Entry of Judgment was mailed or handed to you by the clerk.
Mailing this completed form does not stay enforcement of the judgment.
If you lose your appeal or motion to vacate, you must pay the judgment, including postjudgment costs and interest. As soon as
the small claims court denies your motion to vacate and the denial is not appealed, or receives the dismissal of your appeal or
judgment from the superior court after appeal, the judgment is no longer suspended and may be immediately enforced against
you by the judgment creditor.
If you were sued as an individual, skip this box and begin with item 1 below. Otherwise, check the applicable box, attach the docu-
ments indicated, and complete item 15 on the reverse.
a. (Corporation or partnership) Attached to this form is a statement describing the nature, value, and exact location of all
assets of the corporation or the partners, and a statement showing that the person signing this form is authorized to
submit this form on behalf of the corporation or partnership.
(Governmental agency) Attached to this form is the statement of an authorized representative of the agency stating
when the agency will pay the judgment and any reasons for its failure to do so.
b.
EMPLOYMENT
What are your sources of income and occupation? (Provide job title and name of division or office in which you work.)
a. Name and address of your business or employer (include address of your payroll or human resources department, if different):
3. How often are you paid?
daily
monthlyevery two weeks
other (explain):weekly
twice a month
4. What is your gross pay each pay period? $
5. What is your take-home pay each pay period? $
If your spouse earns any income, give the name of your spouse, the name and address of the business or employer, job title, and
division or office (specify):
JUDGMENT DEBTOR'S STATEMENT OF ASSETS
(Small Claims)
Code of Civil Procedure,
§§ 116.620(a), 116.830
www.courts.ca.gov
Form Adopted for Mandatory Use
Judicial Council of California
SC-133 [Rev. January 1, 2011]
1.
2.
a.
3.
4.
MAIL TO THE JUDGMENT CREDITOR
DO NOT FILE WITH THE COURT
SC-133
NOTICE TO JUDGMENT DEBTOR: You must (1) pay the
judgment or (2) appeal or (3) file a motion to vacate. If you
fail to pay or take one of the other two actions, you must
complete and mail this form to the judgment creditor. If you do
not, you may have to go to court to answer questions and may
have penalties imposed on you by the court.
AVISO AL DEUDOR POR FALLO JUDICIAL: Usted debe (1)
pagar el monto del fallo judicial, o (2) presentar un recurso
de apelación o (3) presentar un recurso de nulidad. Si
usted no paga el fallo o presenta uno de estos dos recursos,
deberá llenar y enviar por correo este formulario a su acreedor
por fallo judicial. Si no lo hace, es posible que deba
presentarse ante la corte para contestar preguntas y pagar las
multas que la corte le pueda imponer.
JUDGMENT DEBTOR'S STATEMENT OF ASSETS
1.
2.
b. If not employed, names and addresses of all sources of income (specify):
INSTRUCTIONS
6.
Page 1 of 2
Unless you have paid the judgment, complete and mail this form to the judgment creditor within 30 days after the date the clerk
mails or delivers to you (a) the denial of your motion to vacate, or (b) the dismissal of your appeal, or (c) the judgment against
you on your appeal.
To keep other people from seeing what
you entered on your form, please press
the Clear This Form button at the end of
the form when finished.
CASH, BANK DEPOSITS
How much money do you have in cash?
$
How much other money do you have in banks, savings and loans, credit unions, and other financial
institutions either in your own name or jointly (list):
Individual or joint?Account number BalanceName and address of financial institution
PROPERTY
9. List all automobiles, other vehicles, and boats owned in your name or jointly:
Legal owner if different
ValueMake and year
Amount owedfrom registered owner
a.
$$
b. $ $
$$c.
d. $ $
10. List all real estate owned in your name or jointly:
Fair market value Amount owed
$$
$$
OTHER PERSONAL PROPERTY (Do not list household furniture and furnishings, appliances, or clothing.)
11. List anything of value not listed above owned in your name or jointly (continue on attached sheet if necessary):
Description
Value
Address where property is located
$
$
$
15. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
Mail or deliver this completed form to the judgment creditor at the address shown on the Notice of Entry of Judgment form.
JUDGMENT DEBTOR'S STATEMENT OF ASSETS
(Small Claims)
SC-133 [Rev. January 1, 2011] Page 2 of 2
(SIGNATURE)(TYPE OR PRINT NAME)
a.
b.
a.
b.
c.
Address of real estate
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
7.
a.
$
b.
$
$
c.
Is anyone holding assets for you? If yes, describe the assets and give the name and address of the
person or entity holding each asset (specify):
Yes. No.
12.
Have you disposed of or transferred any asset within the last 60 days? If yes, give the name and
address of each person or entity who received any asset and describe each asset (specify):
Yes. No.
13.
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
business who won the case (the judgment creditor). State the amount that you can pay each month: $ , beginning
on (date): . If you are unable to agree, you may also ask the court for permission to
make installment payments by filing a Request to Make Payments (form SC-220).
14.
License and vehicle identification (VIN) numbers
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button after you have printed the form.
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