Oregon for the county of cause number wherein form
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IN THE _________________ COURT OF __________________ COUNTYSTATE OF OREGON
__________________________________
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
Oregon 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 cance llation 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 applicableAcknowledgment for Individual
STATE OF ______________________
COUNTY OF ____________________
BE IT REMEMBERED, That on this _____ day of ______________________ , ______ , before
me, the undersigned, a Notary Public in and for said County and State, personally appeared the
within named ________________________ , known to me to be the identical individual
described in and who executed the within instrument and acknowledged to me that he/she
executed the same freely and voluntarily.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal the day
and year last above written.
__________________________
NOTARY PUBLIC
My Commission Expires:____________________
Acknowledgment for Corporation
STATE OF _______________________
COUNTY OF _____________________
On this ____ day of ____________ , ___ , before me appeared _____________________ and
_____________________ both to me personally known, who being duly sworn, did say that
he/she, the said ______________________ is the ______________ President, and he/she, the
said _____________________ is the ___________ Secretary of ______________________ , the
within named corporation , and that the seal, if any, affixed to said instrument is the corporate
seal of said corporation, and that the said instrument was executed on behalf of said corporation
by authority of its Board of Directors, and _________________________ and
____________________ acknowledged said instrument to be the free act and deed of said
corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal the day
and year last above written.__________________________
NOTARY PUBLIC
My Commission Expires:____________________
Acknowledgment for Attorney
STATE OF _____________________
COUNTY OF ___________________
On this ____ day of ____________ , ___ , before me appeared _____________________ to me
personally known, who being duly sworn, did say that he/she is the attorney of record for
Plaintiff, and that the said instrument was executed on behalf of said Plaintiff by authority of
Plaintiff, and _________________________ acknowledged said instrument to be the free act and
deed of said Plaintiff.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal the day
and year last above written.
__________________________
NOTARY PUBLIC
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
AddressAddress
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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