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Judicial Judgment Application



Click To Return HomeThank you for your interest. The more information you can provide us, the better we will be able to assist you with our free evaluation.

All information will be kept confidential.



Your name: 
Your address:
                City, State and zip code:
Home Phone #: 
Work Phone #: 
Best time to call:
Debtors legal name: 
Last known address: 
City, State and zip code: 
Home phone # if possible: 
Work phone # if possible: 
Name of employer if possible:  

Debtors Social Security # if possible:


Debtors drivers license # if possible:


Amount of judgment: 

The Court and State that awarded the Judgment:


Docket Number & Date Judgment was granted: 
Was any amount collected to date from the Debtor:  YesNo

If yes, how much:


Did the debtor appear in court for the hearing?:



State and county Judgment was issued in:


Has anyone tried to collect on this judgment, yourself included?:



Any reason to believe the Debtor had the judgment specifically discharged in a Bankruptcy?


Brief but accurate description of your judgment:

Your Email Address:

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