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Name*
First Last
Email*
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Judgment Information
Case number (if known)
Amount of judgment*
Amount collected to date
Date judgment was issued
State in which judgment was issued
County in which judgment was issued
Were you represented by an attorney?
- Yes
- No
Was your judgment awarded by default (defendant not present)?
- Yes
- No
Does judgment debtor (defendant) now reside in a different state?
- Yes
- No
- I don't know
Name of judgment debtor
Last known address of judgment debtor
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Details about your case
Phone
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