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Here is the text we could read:

SC-290

Acknowledgment of  
Satisfaction of Judgment

Clerk stamps here when form is filed.

See instructions on other side.

To the court clerk:

1 My name is:

Mailing address: 

Phone: 

I am the (check one): 

a.
b.

Judgment creditor.  
Assignee of record.

2

3

I acknowledge that the judgment owed to (name):

was paid or otherwise satisfied on (date):
as follows (check and complete one): 

Fill in the court name and street address:

Superior Court of California, County of

a.

b.

The judgment has been fully paid or satisfied as to all 
judgment debtors.

The judgment has been fully paid or satisfied as to these   
judgment debtors only (names and addresses of judgment debtors   
who have fully paid or satisfied judgment):

Case Number:

Case Name:

Fill in your case number and case name:

(1) Name:

Mailing address: 

(2) Name:

Mailing address: 

(3) Name:

Mailing address: 

(4) Name:

Mailing address: 

Street

Street

Street

Street

City

City

City

City

State

Zip

State

Zip

State

Zip

State

Zip

I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. 

Date:  

Type or print your name 

Judgment creditor or assignee signs here

Judicial Council of California,   
New July 1, 2010, Optional Form  
Code of Civil Procedure, § 116.850

Acknowledgment of Satisfaction of Judgment 
(Small Claims)

SC-290

Instructions for Form SC-290, Acknowledgment of Satisfaction of Judgment
(This page is not part of the Acknowledgment of Satisfaction of Judgment and does not need to be copied, served, 
or filed.)

Warning to the judgment creditor or person to whom the judgment 
has been assigned!

•  When a small claims judgment has been fully paid or satisfied, you must file         
    an Acknowledgment of Satisfaction of Judgment with the small claims court   
    immediately.

•   If the Acknowledgment is not filed within 14 days after the judgment debtor   
    requests it, you may have to pay the judgment debtor damages and a penalty.

Use Form SC-290 to acknowledge payment of a small claims judgment if:

•  You are the judgment creditor (or assignee), and the judgment debtor has         
    paid the full judgment (or satisfied it in another way), and

•  Form EJ-001, Abstract of Judgment—Civil and Small Claims, has NOT been   
    recorded for this judgment.

Use Form EJ-100 to acknowledge payment if: 

•  The judgment debtor has paid only part of the judgment, or

•  Form EJ-001, Abstract of Judgment—Civil and Small Claims, has been     
    recorded.

?

Need help?  
For free help, contact your county’s small claims advisor:
[local info here]

Or go to “County-Specific Court Information” at 

New July 1, 2010

Acknowledgment of Satisfaction of Judgment 
(Small Claims)

SC-290

Acknowledgment of Satisfaction of Judgment

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 2
Fields(s): 37
Average fields per page: 18
Reading Level: Grade 7
LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

c_page_right_caption_court_info was SC-290[0].Page1[0].Right_Caption[0].Court[0].CourtInfo_ft[0] (0.55 conf)
c_page_right_case_number was SC-290[0].Page1[0].Right_Caption[0].CASEnumber[0].CaseNumber_ft[0] (0.38 conf)
page_right_caption_case_name was SC-290[0].Page1[0].Right_Caption[0].casename[0].CaseName_ft[0] (0.39 conf)
c_page_court_list_item_fill__1 was SC-290[0].Page1[0].CourtClerk[0].List1[0].item1[0].FillText01[0] (0.39 conf)
c_page_court_list_item_fill__2 was SC-290[0].Page1[0].CourtClerk[0].List1[0].item1[0].FillText05[0] (0.39 conf)
c_page_court_list_item_fill__3 was SC-290[0].Page1[0].CourtClerk[0].List1[0].item1[0].FillText03[0] (0.39 conf)
c_page_court_list_item_fill__4 was SC-290[0].Page1[0].CourtClerk[0].List1[0].item1[0].FillText04[0] (0.39 conf)
page_court_list_judgment_assignee__1 was SC-290[0].Page1[0].CourtClerk[0].List2[0].Lia[0].JudgmentAssignee[0] (0.40 conf)
page_court_list_judgment_assignee__2 was SC-290[0].Page1[0].CourtClerk[0].List2[0].Lib[0].JudgmentAssignee[0] (0.40 conf)
c_page_court_list_fill_text__1 was SC-290[0].Page1[0].CourtClerk[0].List3[0].FillText061[0] (0.39 conf)
c_page_court_list_fill_text__2 was SC-290[0].Page1[0].CourtClerk[0].List3[0].FillText071[0] (0.39 conf)
c_page_court_list_date_field was SC-290[0].Page1[0].CourtClerk[0].List3[0].DateField1[0] (0.41 conf)
c_page_court_list_lia_ch was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lia[0].Ch10[0] (0.38 conf)
c_page_court_list_lib_ch was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].Ch10[0] (0.38 conf)
c_page_list_lib_fill_text__1 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii1[0].FillText22[0] (0.40 conf)
c_page_list_lib_fill_text__2 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii1[0].FillText38[0] (0.40 conf)
c_page_list_lib_fill_text__3 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii1[0].FillText39[0] (0.40 conf)
c_page_list_lib_fill_text__4 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii1[0].FillText40[0] (0.40 conf)
c_page_list_lib_fill_text__5 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii1[0].FillText41[0] (0.40 conf)
c_page_list_lib_fill_text__6 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii2[0].FillText21[0] (0.40 conf)
c_page_list_lib_fill_text__7 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii2[0].FillText42[0] (0.40 conf)
c_page_list_lib_fill_text__8 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii2[0].FillText43[0] (0.40 conf)
c_page_list_lib_fill_text__9 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii2[0].FillText44[0] (0.40 conf)
c_page_list_lib_fill_text__10 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii2[0].FillText45[0] (0.40 conf)
c_page_list_lib_fill_text__11 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii3[0].FillText20[0] (0.40 conf)
c_page_list_lib_fill_text__12 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii3[0].FillText46[0] (0.40 conf)
c_page_list_lib_fill_text__13 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii3[0].FillText47[0] (0.40 conf)
c_page_list_lib_fill_text__14 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii3[0].FillText48[0] (0.40 conf)
c_page_list_lib_fill_text__15 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii3[0].FillText49[0] (0.40 conf)
c_page_list_lib_fill_text__16 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii4[0].FillText23[0] (0.40 conf)
c_page_list_lib_fill_text__17 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii4[0].FillText50[0] (0.40 conf)
c_page_list_lib_fill_text__18 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii4[0].FillText51[0] (0.40 conf)
c_page_list_lib_fill_text__19 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii4[0].FillText52[0] (0.40 conf)
c_page_list_lib_fill_text__20 was SC-290[0].Page1[0].CourtClerk[0].List3[0].Lib[0].SubLib[0].Lii4[0].FillText53[0] (0.40 conf)
c_page_sign_date_field was SC-290[0].Page1[0].Sign[0].DateField2[0] (0.40 conf)
c_page_sign_print_name was SC-290[0].Page1[0].Sign[0].PrintName[0] (0.41 conf)
c_page_need_help was SC-290[0].Page2[0].NeedHelp[0].T139[0] (0.36 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Acknowledgment of Satisfaction of Judgment

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02