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

LIT Lab Home | About The Explorer | Find & Compare | Explore: Utah Lists

Here is the text we could read:

Judgment Information Statement

(Utah Code 78B-5-201.) (This document is not filed with the court. It is filed with the county recorder.)

y name is ____________________________________________________ and I am

the judgment creditor in the following court case:

Case name
(Example: Party v. Party)

Case number

Court name and county
(Example: Third District
Court, Tooele County)

I provide the following information in compliance with Utah Code Section 78B-5-201.

The correct name of the judgment debtor is

________________________________________________________________.

The correct last known address of the judgment debtor is:

________________________________________________________________.

The address at which the judgment debtor received service of process is:

________________________________________________________________.

The judgment debtor is (choose one):

[ ]

a natural person, and (if known)

Last four digits of Social Security Number

Date of birth

Driver license number

[ ]

is not a natural person (For example, a business.).

The name of the judgment creditor is: _________________________________.

The amount of the judgment is: $ ______________.

1004DCJ Approved May 21, 2018 /
Revised September 25, 2019

Judgment Information Statement

Page 1 of 2

The judgment was entered on: ___________________ (date).

The judgment (Choose one.):

[ ] has not been stayed.

[ ] has been stayed and the stay expires on ___________________ (date).

The judgment creditor has reviewed their records, the records of their attorney (if
there is one), and the records of the court in which the judgment was entered.
Any information required by law but not provided by this statement is unknown
and unavailable. (Utah Code 78B-5-201.)

laintiff/Petitioner or Defendant/Respondent

I declare under criminal penalty under the law of Utah that everything stated in this document is true.

Signed at ______________________________________________________ (city, and state or country).

ttorney or Licensed Paralegal Practitioner of record (if applicable)

Signature ►

Printed Name

Signature ►

Printed Name

Date

1004DCJ Approved May 21, 2018 /
Revised September 25, 2019

Judgment Information Statement

Page 2 of 2

Judgment Information Statement

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah 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 legacy.utcourts.gov (2023-03)
Page(s): 2
Fields(s): 75
Average fields per page: 37
Reading Level: Grade 9
LIST Grouping(s): GO-00-00-00-00.

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.

and_i_am was and_i_am (0.59 conf)
page_field__1 was page_0_field_1 (0.31 conf)
creditor_court_case was the_judgment_creditor_in_the_following_court_case (0.40 conf)
page_field__2 was page_0_field_3 (0.31 conf)
page_field__3 was page_0_field_4 (0.31 conf)
page_field__4 was page_0_field_5 (0.31 conf)
page_field__5 was page_0_field_6 (0.31 conf)
case_name was case_name (0.37 conf)
name was my_name_is (0.33 conf)
following_information_section was i_provide_the_following_information_in_compliance_with_utah_code_section_78b_5_201 (0.34 conf)
page_field__6 was page_0_field_10 (0.31 conf)
last_known_address_judgment was the_correct_last_known_address_of_the_judgment_debtor_is (0.43 conf)
page_field__7 was page_0_field_12 (0.31 conf)
correct_name_judgment_debtor was the_correct_name_of_the_judgment_debtor_is (0.42 conf)
page_field__8 was page_0_field_14 (0.31 conf)
page_field__9 was page_0_field_15 (0.31 conf)
page_field__10 was page_0_field_16 (0.31 conf)
page_field__11 was page_0_field_17 (0.31 conf)
page_field__12 was page_0_field_18 (0.31 conf)
page_field__13 was page_0_field_19 (0.31 conf)
address_judgment_process was the_address_at_which_the_judgment_debtor_received_service_of_process_is (0.39 conf)
page_field__14 was page_0_field_21 (0.31 conf)
page_field__15 was page_0_field_22 (0.31 conf)
page_field__16 was page_0_field_23 (0.31 conf)
page_field__17 was page_0_field_24 (0.31 conf)
page_field__18 was page_0_field_25 (0.31 conf)
page_field__19 was page_0_field_26 (0.31 conf)
page_field__20 was page_0_field_27 (0.31 conf)
page_field__21 was page_0_field_28 (0.31 conf)
page_field__22 was page_0_field_29 (0.31 conf)
page_field__23 was page_0_field_30 (0.31 conf)
page_field__24 was page_0_field_31 (0.31 conf)
page_field__25 was page_0_field_32 (0.31 conf)
page_field__26 was page_0_field_33 (0.31 conf)
page_field__27 was page_0_field_34 (0.31 conf)
page_field__28 was page_0_field_35 (0.31 conf)
judgment_debtor_choose_one was the_judgment_debtor_is__choose_one (0.42 conf)
page_field__29 was page_0_field_37 (0.37 conf)
page_field__30 was page_0_field_38 (0.37 conf)
page_field__31 was page_0_field_39 (0.37 conf)
page_field__32 was page_0_field_40 (0.31 conf)
page_field__33 was page_0_field_41 (0.37 conf)
page_field__34 was page_0_field_42 (0.37 conf)
page_field__35 was page_0_field_43 (0.37 conf)
person_example_business was is_not_a_natural_person__for_example__a_business (0.45 conf)
page_field__36 was page_0_field_45 (0.31 conf)
name_judgment_creditor was the_name_of_the_judgment_creditor_is (0.42 conf)
judgment_information_statement was judgment_information_statement (0.35 conf)
page_field__37 was page_0_field_48 (0.37 conf)
page_field__38 was page_0_field_49 (0.37 conf)
page__1 was page_1_of_2 (0.42 conf)
af_f was AFF051 (0.51 conf)
page_check__1 was page_0_check_1 (0.33 conf)
signature_date was date (1.00 conf)
stayed_stay_expires was has_been_stayed_and_the_stay_expires_on (0.30 conf)
judgment_entered was the_judgment_was_entered_on (0.42 conf)
page_field__39 was page_1_field_3 (0.36 conf)
page_field__40 was page_1_field_4 (0.36 conf)
page_field__41 was page_1_field_5 (0.36 conf)
city_state_country was city__and_state_or_country (0.47 conf)
users1_signature was signature (1.00 conf)
page_field__42 was page_1_field_8 (0.36 conf)
page_field__43 was page_1_field_9 (0.36 conf)
page_field__44 was page_1_field_10 (0.36 conf)
declare_criminal_stated was i_declare_under_criminal_penalty_under_the_law_of_utah_that_everything_stated_in_this_document_is_true (0.52 conf)
signed was signed_at (0.36 conf)
page_field__45 was page_1_field_13 (0.36 conf)
page_field__46 was page_1_field_14 (0.36 conf)
users1_name was printed_name (1.00 conf)
page_field__47 was page_1_field_16 (0.36 conf)
page_field__48 was page_1_field_17 (0.36 conf)
page_field__49 was page_1_field_18 (0.36 conf)
page__2 was page_2_of_2 (0.42 conf)
page_check__2 was page_1_check_0 (0.33 conf)
stayed was has_not_been_stayed (0.38 conf)

Create an Interactive Version of this Form:

The Weaver creates a draft guided interview from a template form, like the one provided here. You can use the link below to open this form in the Weaver. To learn more, read "Weaving" your form into a draft interview.

Launch Form in Weaver

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

Judgment Information Statement

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