RESERVED FOR CLERKS FILE STAMP

SUPERIOR COURT OF CALIFORNIA

COUNTY OF LOS ANGELES
JUDICIAL DISTRICT:

PLAINTIFF(S):

CROSS-DEFENDANT(S):

DEFENDANT(S):

CROSS-COMPLAINANT(S):

CASE NUMBER:

DEPT.:

STIPULATION FOR CIVIL JUDGMENT

THE PARTIES STIPULATE (AGREE ) AS FOLLOWS:

1. Judgment shall be entered in favor of:
Plaintiff(s) _______________________________________________________________________________
Cross-Defendant(s) _______________________________________________________________________
Defendant(s) _____________________________________________________________________________
Cross-Complainant(s) ______________________________________________________________________

and against __________________________________________________________________________, as follows:

(name(s))

Principal

$_____________________

Other Additional Relief: ________________

Prejudgment Interest

$_____________________

______________________________________

Attorneys Fees

$_____________________

______________________________________

Costs

$_____________________

______________________________________

TOTAL

$_____________________

2. Any other terms and conditions (for example terms of a stay on execution of judgment):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

LACIV 220 (New)

LASC Approved 04-09

STIPULATION FOR CIVIL JUDGMENT

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3. If execution of the judgment is stayed, it is agreed that upon default by the party to perform, the stay will be lifted and
a writ of execution or other relief may issue upon ex parte application by the party entitled to performance (check 3a,
3b, or 3c), as follows:
a.

Without further notice or hearing

b.

On 24-hour telephonic notice to the defaulting party

c.

Other ________________________________

4. Acknowledgment and Waiver: I acknowledge and agree that I have the right to be represented by counsel at my
own expense and that I have had the opportunity to raise any questions I have with the judge and/or counsel before
signing this Stipulation.

. ___________________________________________________
(TYPE OR PRINT NAME)

(SIGNATURE OF PLAINTIFF)

. ___________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR PLAINTIFF)

. ___________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF DEFENDANT)

. ___________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR DEFENDANT)

. ___________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF _____________________________)

. ___________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR _____________________________)

. ___________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF _____________________________)

. ___________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR _____________________________)

Judgment is entered this date in accord with the above.

The Courts case file will be destroyed on or after _____________________ without further order of the court.
(INSERT DATE)

__________________________________
DATE

LACIV 220 (New)

LASC Approved 04-09

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_______________________________________________________________
JUDICIAL OFFICER

STIPULATION FOR CIVIL JUDGMENT

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