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SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE

BANNING 311 E. Ramsey St., Banning, CA 92220 MORENO VALLEY 13800 Heacock St., Ste. D201, Moreno Valley, CA 92553
BLYTHE 265 N. Broadway, Blythe, CA 92225 MURRIETA 30755-D Auld Rd., Ste. 1226, Murrieta, CA 92563
CORONA 505 S. Buena Vista, Rm. 201, Corona, CA 92882 PALM SPRINGS 3255 E. Tahquitz Canyon Wy., Palm Springs, CA 92262
HEMET 880 N. State St., Hemet, CA 92543 RIVERSIDE 4050 Main St., Riverside, CA 92501
RI-CI029
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT: CASE NUMBER:

AFFIDAVIT OF IDENTITY AND ORDER


This form may be used to add new names or aliases for present judgment debtors, but it may not be used to add
new judgment debtors or to amend the judgment.

I am the judgment creditor in the above entitled action.

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

2. The judgment debtor is also known by the following name or names:

3. The facts that establish that the judgment debtor uses the additional name or names are:

Please attach any supporting documentation.

4. This form is being filed with a writ of execution, or abstract of judgment.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Dated:
(TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT)

IT IS SO ORDERED THAT THE TERM JUDGMENT DEBTOR INCLUDE THE NAME OR NAMES IN #2 ABOVE, AND
MAY BE ADDED TO WRIT OF EXECUTION OR ABSTRACT OF JUDGMENT.

Dated:
(JUDICIAL OFFICER OF THE SUPERIOR COURT)
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Approved for Optional Use riverside.courts.ca.gov/localfrms/localfrms.shtml
Riverside Superior Court
AFFIDAVIT OF IDENTITY AND ORDER Code Civ. Proc., §§ 680.135, 99.510(c)(1)
RI-CI029 [Rev. 10/01/14]
(Reformatted 01/07/19)

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