Fill and Sign the Pennsylvania Satisfaction Judgment Form
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IN THE _________________ COURT OF __________________ COUNTY
STATE OF PENNSYLVANIA
__________________________________
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
Pennsylvania 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 ____________________
On this ____ day of _________________ , _____ , before me a notary public in and for the
____________________, the undersigned officer, personally appeared
_______________________ , known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument, and acknowledged that he/she executed the same
for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
____________________________________
Notary Public, State of
Printed Name:________________________
My Commission Expires:
_____________________
Acknowledgment for Corporation
STATE OF _______________________
COUNTY OF _____________________
On this ____ day of __________________ , _____ , before me a notary public in and for the
_________________________, the undersigned officer, personally appeared
______________________ , who acknowledged himself/herself to be the ______________
President of __________________________ , a corporation, and that he/she as such
___________ President, being authorized to do so, executed the foregoing instrument for the
purposes therein contained by signing the name of the corporation by himself/herself as
___________ President.
In witness whereof, I hereunto set my hand and official seal.
____________________________________
Notary Public, State of
Printed Name:________________________
My Commission Expires:
_____________________
Acknowledgment for Attorney
STATE OF _____________________
COUNTY OF ___________________
On this ____ day of __________________ , _____ , before me a notary public in and for the
_________________________, the undersigned officer, personally appeared
______________________ , who acknowledged himself/herself to be the attorney of record for
Plaintiff, and that he/she as such attorney of record, being authorized to do so, executed the
foregoing instrument for the purposes therein contained by signing the name of the Plaintiff by
himself/herself as attorney of record.
In witness whereof, I hereunto set my hand and official seal.
____________________________________
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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FAQs
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