IN THE _________________ COURT OF __________________ COUNTY
STATE OF INDIANA
__________________________________
Plaintiff(s)
vs. Cause Number: ________________
__________________________________
Defendant(s)
SATISFACTION OF JUDGMENT
KNOW ALL PERSONS BY THESE PRESENTS:
That ____________________________________________, the Plaintiff(s) and judgment
creditor(s) in the action described above in the _______________________ Court of the state of
Indiana for the County of ___________________, Cause Number ____________, wherein
Plaintiff(s) obtained Judgment of and from the Defendant(s),
___________________________________, in the amount of ________________________
dollars, plus interest, attorney fees and costs as provided therein, or by law, if any, said
Judgement rendered on the ________ day of ___________________, ________, hereby
acknowledges full and complete satisfaction of such judgment recovered against said
Defendant(s), including costs, attorneys fees and interest, if any, due. The undersigned
authorizes that said judgment be marked paid and that such full payment and cancellation of
same be recorded as provided by law.
Plaintiff(s) or Attorney for Plaintiff(s)
_________________________________
Plaintiff(s) or Attorney Name
Address
Phone
Bar Number, if applicable
Acknowledgment for Individual
STATE OF ______________________
COUNTY OF ____________________
Before me, a Notary Public in and for said County and State, personally appeared
________________________, of _______________________ , who acknowledged execution of
the foregoing __________________________ and who, having been duly sworn, stated that the
representations therein contained are true.
___________________________________
Notary Public, State of
Printed Name:________________________
My Commission Expires:
_____________________
Acknowledgment for Corporation
STATE OF _______________________
COUNTY OF _____________________
Before me, a Notary Public in and for said County and State, personally appeared
______________________ and _______________________ , the _____________________ and
______________________, respectively, of ______________________, who acknowledged
execution of the foregoing ________________________ for and on behalf of said
____________________, and who, having been duly sworn, stated that the representations
therein contained are true.
___________________________________
Notary Public, State of
Printed Name:________________________
My Commission Expires:
_____________________
Acknowledgment for Attorney
STATE OF _____________________
COUNTY OF ___________________
Before me, a Notary Public in and for said County and State, personally appeared
______________________, the attorney of record for Plaintiff, who acknowledged execution of
the foregoing ________________________ for and on behalf of said Plaintiff, and who, having
been duly sworn, stated that the representations therein contained are true.
___________________________________
Notary Public, State of
Printed Name:________________________
My Commission Expires:
_____________________
CERTIFICATE OF MAILING
I, the undersigned, hereby certify that I have this date mailed a true and correct copy of the
above and foregoing Satisfaction of Judgment, by regular United States mail, postage prepaid,
to:
Attorney for Defendant Name Defendant(s) Name
Address Address
DATED this the ________ day of ______________, 20____.
________________________________________
Signature of Plaintiff(s) or Attorney for Plaintiff(s)
After Filing or Recording Return to:
_____________________________
_____________________________
_____________________________
Notes: This form is specific in that it contains the appropriate state acknowledgment for your
State. The case style format may vary slightly. All margins are set at 1 inch. Modify margins,
lined paper requirements and line numbering to comply with local practice, if any.
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