HomeMy WebLinkAboutCA Acknowledgement of Satisfaction of JudgmentEJ-100
After recording, return to:
ROBERT F. EPSTEIN #154373 City Attorney
GENEVIEVE COYLE #287058 Assistant City Attorney
City of San Rafael
1400 Fifth Avenue
San Rafael, CA 94901
TEL NO.: 415-485-3080 FAX NO. (optional): 415-485-3109
E-MAIL ADDRESS (Optional):
ED ATTORNEY Q JUDGMENT O ASSIGNEE
FOR CREDITOR OF RECORD
ERIOR COURT OF CALIFORNIA, COUNTY OF MARIN
EETADDRESS: 3501 Civic Center Drive
_ING ADDRESS: P.O. BOX 4988
'AND ZIP CODE: San Rafael, CA 94913
BRANCH NAME: CIV 1500842
PLAINTIFF: People of the State of California
DEFENDANT: Monica Lipsky
ACKNOWLEDGMENT OF SATISFACTION OF JUDGMENT
Qx FULL 0 PARTIAL = MATURED INSTALLMENT
FOR RECORDER'S OR SECRETARY OF STATE'S USE ONLY
CASE NUMBER:
CIV 1500842
FOR COURT USE ONLY
Satisfaction of the judgment is acknowledged as follows:
a. Ox Full satisfaction
(1) Judgment is satisfied in full.
(2) 0 The judgment creditor has accepted payment or performance
other than that specified in the judgment in full satisfaction of the
judgment.
b. 0 Partial satisfaction
The amount received in partial
satisfaction of the judgment is $
c. Q Matured installment
All matured installments under the installment judgment have been satisfied as of (date):
2. Full name and address of judgment creditor:"
City of San Rafael, 1400 Fifth Avenue, San Rafael, CA 94901
3. Full name and address of assignee of record, if any:
N/A
4. Full name and address of judgment debtor being fully or partially released:"
Monica Lipsky, 4B Lockett Lane, Mill Valley, CA 94941 (current address is 1101 Allview Avenue, El Sobrante, CA 94803)
5. a. Judgment entered on (date): February 5, 2007
b. 0 Renewal entered on (date):
6. Ox An F abstract of judgment 0 certified copy of the judgment has been recorded as follows (complete all
information for each county where recorded):
COUNTY DATE OF RECORDING INSTRUMENT NUMBER
Marin March 10, 2015 2015-0010150
7. 0 A notice of judgment lien has been filed in the office of the Secretary of State as file number (specify).
NOTICE TO JUDGMENT DEBTOR: If this is an acknowledgment of full sa
county shown in item 6 above, if any, in order to release the judgment lien,
State to terminate any judgment lien on personal property.
Date: May 24, 2023
anon of judgment, it will have to be recorded in each
will have to be filecyia the oifiice of the Secretary of
(SIGNATURE
OR XSMNEE OF CREDITOR OR ATTORNEY")
'The names of the judgment creditor and judgment debtor must be stated as shown in any Abstract of Judgment which'vrd recorded and is being released by this satisfaction. " A separate notary
acknowledgment must be attached for each signature.
Form Approved for Optional Use ACKNOWLEDGMENT OF SATISFACTION OF JUDGMENT Page 1of1
Judicial Council of California Code of Civil Procedure, §§ 724.060,
EJ-100 [Rev. July 1, 20141 724.120, 724.250
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Marin
On /� before me, Brenna Kathleen Nurmi, Notary Public
�d (insert name and title of the officer)
personally appeared C °�lJ6,14
who proved to me on the basis of satisfactory evidence to be the per o whose name /a.4
su ribed to the within instrument and acknowledge . to me that h t y executed he same in
e /t� authorized capacity(ie,4, and that by�&/th r signature on the instrument the
person( or the entity upon behalf of which the personcted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal
Signature
BRENNA KATHLEEN NURMI
Notary Public - California
Marin County i
Commission p 2297544
My Comm, Expires Jul 18, 2023
(Seal)
DECLARATION OF SERVICE BY MAIL
(C.C.P. § 1013a, 2015.5)
I am a citizen of the United States and a resident of the County of Marin, California; I am
over the age of eighteen (18) years and not a party to the within action. My business address is
1400 Fifth Avenue, San Rafael, California 94901.
On the date last written herein, I served a true copy of: ACKNOWLEDGMENT OF
SATISFACTION OF JUDGMENT, by placing a true copy thereof, enclosed in a sealed
envelope with postage thereon fully prepaid, on May , 2023, and deposited in the United
States Post Office mailbox at San Rafael, California, addressed as follows:
Monica Lipsky
1101 Allview Avenue
Ed Sobrante, CA 94803
I certify under penalty of perjury that the foregoing is true and correct. Executed this
day of May, 2023, at San Rafael, California.
AaraineK. Gittens, Legal Assistant
City of San Rafael
1
RAFq�`
1
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ly WITH P
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below.
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department: City Attorney
Project Manager: Rob Epstein Extension: 3080
Contractor Name: Acknowledgment of Satisfaction of Judgment, P. v. Monica Lipsky, CIV 1500842
Contractor's Contact: n/a Contact's Email: n/a
❑ FPPC: Check if Contractor/Consultant must file Form 700
Step RESPONSIBLE
DESCRIPTION
COMPLETED
REVIEWER
DEPARTMENT
a. Email PINS Introductory Notice to Contractor
DATE
Check/Initial
1 Project Manager
n/a
5/24/2023
b. Email contract (in Word) and attachments to City
Attorney c/o Laraine.Gittens@cityofsanrafael.org
2
City Attorney
a. Review, revise, and comment on draft agreement
5/24/2023
and return to Project Manager
n/a
❑X GC
b. Confirm insurance requirements, create Job on
PINS, send PINS insurance notice to contractor
3
Department Director Approval of final agreement form to send to
5/24/2023
® GC
contractor
Project Manager Forward three (3) originals of final agreement to
4
n/a
contractor for their signature
Project Manager When necessary, contractor -signed agreement
5
0 N/A
agendized for City Council approval *
*City Council approval required for Professional Services
Agreements and purchases of goods and services that exceed
Or
$75,000; and for Public Works Contracts that exceed $175,000
Click here to
Date of City Council approval
enter a date.
PRINT
CONTINUE ROUTING PROCESS WITH HARD COPY
6
Project Manager
Forward signed original agreements to City
5/24/2023
Ikg
Attorney with printed copy of this routing form
7 City Attorney
Review and approve hard copy of signed
S/�LI I �3
/
agreement
�J
8 City Attorney
Review and approve insurance in PINS , and bonds
(for Public Works Contracts)
Agreement executed by City Council authorized
N
9 City Manager / Mayor
official
10
City Clerk
Attest signatures, retains original agreement and
/
'v
forwards copies to Project Manager