Mailing Address




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You must use black ink to fill out this form.

Your Name:

Mailing Address:



Tel: Message phone:

NOTE: If for any reason you do not wish the other person to know your physical address, you must still provide a mailing address so that the court and the other person can serve you by mail.
IN THE SUPERIOR COURT FOR THE STATE OF ALASKA

AT


(City or Town where Court is located)


)

)

Plaintiff, )

)

vs. )



)

)

Defendant. )



) Your Case No.

ORDER REDUCING TO JUDGMENT
IT IS ORDERED that judgment is reduced and entered as follows:
1.  Plaintiff  Defendant , d.o.b. ,

shall recover from and have judgment against

 Defendant  Plaintiff , d.o.b. ,

for  child(ren)’s uncovered medical expenses  unpaid child support

 other as follows:
a. Principal Amount $

b. Pre-judgment Interest on $

$ (computed

at the annual rate of %

from to date of

judgment)



(See http://www.courtrecords.alaska.gov/webdocs/forms/adm-505.pdf to learn how to determine the proper interest rate for a given year. Note that different rates apply to different debts.)
c. Subtotal $

d. Attorney’s Fees $

Date Awarded:

Judge:


e. Costs $

Date Awarded:

Clerk:
f. TOTAL JUDGMENT $

g. Post-Judgment Interest Rate %



(See http://www.courtrecords.alaska.gov/webdocs/forms/adm-505.pdf to learn how to determine the proper interest rate for a given year. Note that different rates apply to different debts.)
2. Describe any non-monetary provision(s) here:



Date

Judge



(print name)


I certify that on a copy

of the above was mailed to each of the following:

at their addresses of record.
 Plaintiff  Defendant Other

Deputy Clerk / Secretary



ORDER REDUCING TO JUDGMENT Page of

SHC-1535 (11/11)




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