Statement Of Judgment {27A}

In the District Court of ________________ County State of Oklahoma _____________________________ vs. _____________________________ ) ) ) ) ) Case No. ___________________ Statement of Judgment State of Oklahoma County of _________________ ) ) ) SS _________________________________, of lawful age, first being duly sworn, deposes and says: 1. That on the ______ day of ______________________, 20_____, a money judgment was rendered in case number _________________ in District Court of ___________________ County styled as follows: Amount: Judgment Costs & Attorney Fees Against Judgment Debtor In Favor Of Judgment Creditor 2. That judgment was filed with the Court Clerk of __________________ County on the _______ day of ____________________, 20______. 3. That the County Clerk shall enter on the judgment index a statement based on this information, in compliance with 12 O.S. Supp. 1997 § 706. 4. That the name and address of the judgment creditor is: Name Address _______________________________________________ _______________________________________________ _______________________________________________ American LegalNet, Inc. www.USCourtForms.com Further, your affiant sayeth not. Name Title ___________________________________________ ___________________________________________ (if any) Organization ___________________________________________ (if any) Address ___________________________________________ ___________________________________________ Signed and sworn to before me on the ______ day of _______________________, 20_____ by ____________________________. ____________________________________________ Notary Public My Commission Expires: ______________________________ AOC Form 27a Revised 9/05 American LegalNet, Inc. www.USCourtForms.com