Fill and Sign the Minnesota Satisfaction Judgment Form

State of Minnesota District Court County Judicial District: Court File Number: Case Type: Civil ______________________________________ ______________________________________ ______________________________________ Satisfaction of Judgment Plaintiff(s) (Minn. Stat. §548.15) vs. ______________________________________ ______________________________________ ______________________________________ Defendant(s) State of Minnesota ) ) SS County of ) Partial Satisfaction I, , the undersigned judgment creditor hereby certify that judgment in the amount of $ which was entered in this Court on in favor of and against is partially satisfied in the following amounts: Date Collected Total Collected Credit/Costs Credit/Interest Credit/Principal and the Court Administrator shall record the same. I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. Dated: Signature Name: Address: City/State/Zip: JGM201 State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 2 Telephone: ( ) E-mail address: State of Minnesota ) ) SS County of ) Full Satisfaction I, , the undersigned judgment creditor hereby certify that judgment in the amount of $ which was entered in this Court on , in favor of and against is fully satisfied and the Court Administrator shall record the same. I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. Dated: Signature Name: Address: City/State/Zip: Telephone: ( ) E-mail address: JGM201 State ENG Rev 7/15 www.mncourts.gov/forms Page 2 of 2