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Satisfaction Of Judgement

IN THE SMALL CLAIMS COURT IN AND FOR

WASHINGTON COUNTY, STATE OF UTAH

87 North 200 East, Suite 301, St. George, Utah 84770

___________________________________________________________________, Plaintiff(s)

SATISFACTION OF

Name

_________________________________________________

JUDGMENT

Street Address

____________________________________________________________________________

City, State and Zip

Phone

Case No.

__________________________________________________________________, Defendant(s)

Name

________________________________________________

Street Address

___________________________________________________________________________

City, State and Zip

Phone

The Plaintiff hereby states the following:

1. A judge of this court signed the judgment in this case on: __________________________________.

2. I am the original judgment creditor.

3. The judgment has been fully satisfied.

4. This acknowledgement discharges the entire judgment.

5. This acknowledgement releases all of the judgment debtors.

I have not included any non-public information in this document.

I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true.

Dated:

_______________________________________________

Judgment Creditor's Signature

CERTIFICATION OF SERVICE

I certify that I mailed a copy of this Satisfaction of Judgment to the Judgment Debtor at the address listed

above and filed the original with the above-captioned Court on ______________________.

________________________________________________

Judgment Creditor's Signature

Rev. 03/16

Satisfaction Of Judgement