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UNITED STATES DISTRICT COURT WESTERN DISTRICT OF TEXAS AUSTIN DIVISION

(1) Plaintiff(s) VS. (2) Defendant(s) § § § § § § §

Civil Action No.

(3)

ABSTRACT OF JUDGMENT I, WILLIAM G. PUTNICKI, Clerk, United States District Court for the Western District of Texas, DO HEREBY CERTIFY: THAT in the United States District Court for the Western District of Texas, Austin Division, in civil cause of action number (3) , styled (1) v. (2) , the said (4) recovered judgment against the (5) , (6) , (7) ;

THAT the judgment was rendered by this Court on the (8) day of (9) , (10) , in the amount of (11) with interest accruing thereon at the rate of (12) percent ( %) PER ANNUM, commencing from the (13) day of (14) , (15) , until paid, plus costs of suit; THAT said judgment is entitled to the following credits: (16) .

WITNESS my official signature and seal of this Court, in the city of Austin, State of Texas, this day of , . William G. Putnicki, Clerk of Court United States District Court Western District of Texas

By:

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Deputy Clerk UNITED STATES DISTRICT COURT WESTERN DISTRICT OF TEXAS AUSTIN DIVISION

INSTRUCTIONS ABSTRACT OF JUDGMENT

Please use the attached template when requesting the issuance of an Abstract of Judgment for a judgment rendered in the United States District Court, Western District of Texas, Austin Division. The requesting party should submit the abstract in triplicate. Prior to issuing the abstract, the Clerk's Office will verify the date and amount of judgment against the final judgment and bill of costs. If the abstract is correct, it will be signed and sealed. Two copies will be returned to the requesting party, and one copy shall be retained in the file. The fee for issuance of an abstract of judgment is $11.00.

LEGEND 1. 2. 3. 4. 5. 6. 7. Name of Plaintiff Name of Defendant Case Number Plaintiff / Defendant Defendant / Plaintiff Name of Individual / Corporation, etc., against whom judgment was rendered Further identification of Judgment Debtor, if available (e.g. birth date, driver's license, address, etc.) Day, month, year judgment rendered Monetary amount of judgment Rate of Interest (please refer to www.federalreserve.gov/releases/h15) Day, month, year from which interest begins to accrue (usually date of judgment) Credits, payments, or other offsets made by Judgment Creditor

8., 9., 10. 11. 12. 13., 14., 15. 16.

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