ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF SAN LUIS OBISPO COUNTY San Luis Obispo Branch, 1035 Palm Street, Rm 385, San Luis Obispo, CA 93408 Grover Beach Branch, 214 South 16th Street, Grover Beach, CA 93433 Paso Robles Branch, 901 Park Street, Paso Robles, CA 93446 www.slocourts.net Plaintiff: Defendant: REQUEST TO ENTER SATISFACTION OF JUDGMENT I, be entered. This request is based upon: CASE NO: , am the judgment debtor and request Satisfaction of Judgment The documents attached to this statement constitutes evidence of the payment of the judgment in full The judgment and costs have been paid in full to the judgment creditor. The judgment creditor has been requested to file a satisfaction of judgment and refuses to do so. The present address of the judgment creditor is unknown. 1. Full name and last known address of judgment creditor: 2. Full name and address of assignee of record, if any: 3. Full name and address of judgment debtor being fully released: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (Signature of Declarant) Based on the above declaration and attached documents, Satisfaction of Judgment is ordered. Date: Wayne Hall, Clerk by , Deputy NOTE TO JUDGMENT DEBTOR: This Satisfaction of Judgment, or acknowledgment of judgment, must be recorded in each county in which an abstract of judgment was recorded. Further, if a judgment lien has been filed against personal property, this Satisfaction of Judgment must also be filed in the Office of the Secretary of State to terminate such lien. CLERK'S CERTIFICATE The foregoing is a full, true and correct copy of the original on file in this office. CLERK OF THE SUPERIOR COURT Date: SC003 Rev. 08/01/2009 Optional By Deputy REQUEST TO ENTER SATISFACTION OF JUDGMENT CCP116.840 CCP116.850 American LegalNet, Inc. www.FormsWorkFlow.com