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STATE OF INDIANA ) IN THE SUPERIOR COURT NO. 5 ) SS: COUNTY OF HAMILTON ) OF HAMILTON COUNTY Judgment Creditor v. CAUSE NO. Judgment Debtor POST-JUDGMENT PAYMENT AGREEMENT Judgment Debtor’s name: Address: Telephone: Date of birth: Employer: Social Security number (last four digits only): SSN: XXX – XX - The parties to this action have agreed that the judgment rendered in this cause in the total amount of plus costs, shall be paid by the Judgment Debtor as follows: within days / by in full. in payments of per beginning until paid. Judgment Creditor shall not execute on this judgment so long as payments are current. The parties also agree as follows: As long as payment is made as agreed, further proceedings will be withheld by the Court. Judgment Creditor / Attorney Judgment Debtor / Attorney Date: Date: APPROVAL OF SETTLEMENT The parties having filed their Post-Judgment Payment Agreement as set forth above, said Agreement is now approved and the parties are ordered to carry out the terms of their agreement. All pending hearings are vacated. Judge, Hamilton Superior Court No. 5 Rev. 9/08 PJPA Clear Form