AFFIDAVIT FOR RENEWAL OF JUDGMENT

1. That judgment was entered in favor of Judgment Creditor(s), Judgment Creditor(s)(must insert name of person(s) money is owed to)  and against Judgment Debtor(s),   Judgment Debtor(s) (must insert name of person(s) owing money).

2. The judgment or abstract of judgment  
is not recorded
is recorded

If so, the judgment is recorded in   County name   County (must insert name of County where judgment was submitted to the Court for signature or the date judgment was signed by a judge) as document number   document number (must insert Recorder's Office document number or the number and the page of the book in which it is recorded).        

3. The judgment was entered on   judgment date (must insert the date judgment was submitted to the Court for signature or the date judgment was signed by a judge) in the amount of $total judgment amount (must insert total judgment amount).      

4. There   is not    is     (must choose one) an outstanding writ of execution for the enforcement of the judgment.

5. The Judgment Creditor has made payments upon the judgment in the total amount of $total payments made (must insert total payments made, if any).

6 There  are not are (must choose one) setoffs or counterclaims in favor of the judgment debtor.

7. The exact amount due on the judgment as of today is $   judgment due(must insert total amount still owed).

8. The judgment    has not   has (must choose one) been docketed by the clerk of the court upon a certified copy from another court and an abstract is recorded in the following County:   County Name (if yes, must insert name of the County where abstract of judgment is recorded).        

Dated:   Date   
Signature:   Signature   
Print Name:   Print Name   
Address:   Address   
City, State, Zip:   City, State, Zip   
Telephone No.:   Telephone No.   
Email Address:   Email address