Free affidavit of identity 21
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NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:

STATE BAR NUMBER

Reserved for Clerk’s File Stamp

TELEPHONE NUMBER (Optional)
ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
PLAINTIFF:
DEFENDANT:
CASE NUMBER:

AFFIDAVIT OF IDENTITY AND ORDER

I am the judgment creditor in the above entitled action.
1.

The name of the judgment debtor as stated in the judgment is:

2.

List additional name or names by which the judgment debtor is known:

3.

The facts relied on in obtaining the judgment debtor’s additional name or names are:

This document may be used to add new names or aliases for present judgment debtors, but it
may not be used to add new judgment debtors.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true
and correct.
Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF DECLARANT)

IT IS HEREBY ORDERED that the identification of the judgment debtor shall include the