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Here is the text we could read:

ATTORNEY OR PERSON WITHOUT ATTORNEY  (Name, State Bar number, and address):

Recording requested by and return to:

CR-111/JV-791

TELEPHONE NO.:

FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR: 

JUDGMENT  
CREDITOR

ASSIGNEE OF  
RECORD 

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CASE NAME:

ABSTRACT OF JUDGMENT—RESTITUTION

Amended

1.

The

judgment creditor

assignee of record

other (specify):

applies for an abstract of judgment and represents the following:

a.

Judgment debtor's

Name and last known address

FOR RECORDER'S USE ONLY

CASE NUMBER:

FOR COURT USE ONLY

b.

c.

d.

Driver's license no. [last 4 digits] and state:

Social security no. [last 4 digits]:

Date of birth:

Unknown

Unknown

Unknown

Date:

(TYPE OR PRINT NAME)

Form Approved for Optional Use 
Judicial Council of California  
CR-111/JV-791 [Rev. July 1, 2015]

ABSTRACT OF JUDGMENT—RESTITUTION

(SIGNATURE OF APPLICANT OR ATTORNEY)

ON INFORMATION AND BELIEF 

Page 1 of 2

Penal Code, §§ 1202.4(i), (m), 1214; 
Welfare and Institutions Code, § 730.6(i), (r); 
Code of Civil Procedure,  § 674 
www.courts.ca.gov

CASE NAME:

CASE NUMBER:

CR-111/JV-791

2.

3.

5.

6.

7.

CERTIFICATION

I certify that the following is a true and correct judgment entered in this action.

[SEAL]

Judgment creditor (name):

whose address or whose attorney's address appears on this form above the 
court's name.

4.

Judgment debtor (full name as it appears in judgment):

Judgment entered on (date):

Total amount of judgment as entered or last renewed: $

A stay of enforcement was ordered on:  

and is effective until:

A stay of enforcement was not ordered.

This abstract of judgment was issued on (date):

Clerk, by                                                    , Deputy

CR-111/JV-791 [Rev. July 1, 2015]

ABSTRACT OF JUDGMENT—RESTITUTION

For your protection and privacy, please press the Clear 
This Form button after you have printed the form.

Page 2 of 2

Abstract of Judgment—Restitution

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): 46
Average fields per page: 23
Reading Level: Grade 5
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

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.

topmost_subform_page_specify_tf was topmostSubform[0].Page1[0].OtherSpecify_tf[0] (0.55 conf)
topmost_subform_page__1 was topmostSubform[0].Page1[0].T151[0] (0.38 conf)
topmost_subform_page__2 was topmostSubform[0].Page1[0].T163[0] (0.38 conf)
topmost_subform_page__3 was topmostSubform[0].Page1[0].T173[0] (0.38 conf)
topmost_page_area_check_box__1 was topmostSubform[0].Page1[0].#area[0].CheckBox61[0] (0.39 conf)
topmost_subform_page_email_ft was topmostSubform[0].Page1[0].Email_ft[0] (0.38 conf)
topmost_page_area_check_box__2 was topmostSubform[0].Page1[0].#area[1].CheckBox61[1] (0.39 conf)
topmost_page_area_check_box__3 was topmostSubform[0].Page1[0].#area[2].CheckBox61[2] (0.39 conf)
topmost_page_area_check_box__4 was topmostSubform[0].Page1[0].#area[3].CheckBox61[3] (0.39 conf)
topmost_page_area_check_box__5 was topmostSubform[0].Page1[0].#area[4].CheckBox61[4] (0.39 conf)
topmost_page_area_check_box__6 was topmostSubform[0].Page1[0].#area[5].CheckBox61[5] (0.39 conf)
topmost_page_area_check_box__7 was topmostSubform[0].Page1[0].#area[6].CheckBox61[6] (0.39 conf)
topmost_page_text_field was topmostSubform[0].Page1[0].TextField2[0] (0.36 conf)
topmost_subform_page_area_specify_tf was topmostSubform[0].Page1[0].#area[7].OtherSpecify_tf[1] (0.40 conf)
topmost_page_area_check_box__8 was topmostSubform[0].Page1[0].#area[8].CheckBox61[7] (0.39 conf)
topmost_page_area_check_box__9 was topmostSubform[0].Page1[0].#area[9].CheckBox61[8] (0.39 conf)
topmost_page_area_check_box__10 was topmostSubform[0].Page1[0].#area[10].CheckBox61[9] (0.39 conf)
topmost_page_area_check_box__11 was topmostSubform[0].Page1[0].#area[11].CheckBox61[10] (0.39 conf)
topmost_page_area_check_box__12 was topmostSubform[0].Page1[0].#area[12].CheckBox61[11] (0.39 conf)
topmost_page_area_check_box__13 was topmostSubform[0].Page1[0].#area[13].CheckBox61[12] (0.39 conf)
topmost_page_area_name_ft was topmostSubform[0].Page1[0].#area[15].YourName_ft[0] (0.47 conf)
topmost_subform_page_area_date_time_field was topmostSubform[0].Page1[0].#area[15].DateTimeField1[0] (0.41 conf)
topmost_subform_page_check_box was topmostSubform[0].Page1[0].CheckBox62[0] (0.39 conf)
topmost_page_area_check_box__14 was topmostSubform[0].Page1[0].#area[16].CheckBox61[13] (0.39 conf)
topmost_page_case_name_ft was topmostSubform[0].Page1[0].CaseName_ft[0] (0.40 conf)
topmost_subform_page_crt_county_ft was topmostSubform[0].Page1[0].CrtCounty_ft[0] (0.37 conf)
topmost_subform_page_branch_ft was topmostSubform[0].Page1[0].Branch_ft[0] (0.42 conf)
topmost_subform_page_city_ft was topmostSubform[0].Page1[0].CityZip_ft[0] (0.38 conf)
topmost_subform_page_street_ft was topmostSubform[0].Page1[0].Street_ft[0] (0.44 conf)
topmost_subform_page_mailing_add_ft was topmostSubform[0].Page1[0].MailingAdd_ft[0] (0.40 conf)
topmost_subform_page_phone_ft__1 was topmostSubform[0].Page1[0].Phone_ft[0] (0.34 conf)
topmost_subform_page_phone_ft__2 was topmostSubform[0].Page1[0].Phone_ft[1] (0.34 conf)
topmost_page_case_number_ft was topmostSubform[0].Page1[0].CaseNumber_ft[0] (0.43 conf)
topmost_subform_page_p_header_gp_case_number_ft was topmostSubform[0].Page2[0].P2Header_gp[0].CaseNumber[0].CaseNumber_ft[0] (0.40 conf)
topmost_subform_page_p_header_gp_case_name_ft was topmostSubform[0].Page2[0].P2Header_gp[0].CaseName[0].CaseName_ft[0] (0.38 conf)
topmost_subform_page__4 was topmostSubform[0].Page2[0].T152[1] (0.38 conf)
topmost_subform_page__5 was topmostSubform[0].Page2[0].T152[2] (0.38 conf)
topmost_subform_page__6 was topmostSubform[0].Page2[0].T152[3] (0.38 conf)
topmost_subform_page__7 was topmostSubform[0].Page2[0].T152[4] (0.38 conf)
topmost_subform_page__8 was topmostSubform[0].Page2[0].T152[5] (0.38 conf)
topmost_page_area_check_box__15 was topmostSubform[0].Page2[0].#area[1].CheckBox61[0] (0.39 conf)
topmost_page_area_check_box__16 was topmostSubform[0].Page2[0].#area[2].CheckBox61[1] (0.39 conf)
topmost_subform_page__9 was topmostSubform[0].Page2[0].T193[0] (0.38 conf)
topmost_subform_page__10 was topmostSubform[0].Page2[0].T193[1] (0.38 conf)
topmost_page_area_check_box__17 was topmostSubform[0].Page2[0].#area[3].CheckBox61[2] (0.39 conf)
topmost_subform_page__11 was topmostSubform[0].Page2[0].T193[5] (0.38 conf)

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

Abstract of Judgment—Restitution

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