County Court District Court ___________________________ County, Colorado Court Address: Plaintiff(s)/Petitioner(s) v. Defendant(s)/Respondent(s) Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg. #: SATISFACTION OF JUDGMENT PARTIAL Courtroom FULL In consideration of my receipt of $_____________ paid to me by ____________________________ (Print name), on ______________________ (date), partial full satisfaction is acknowledged by me toward payment of the judgment amount entered on _______________________ (date) in the amount of $ ________________ in my favor in the above-captioned action. I hereby authorize the Clerk of Court to enter of record captioned action. Dated: _______________________________ partial full satisfaction of judgment in the above- ______________________________________ Judgment Creditor / Attorney Petitioner(s)/Plaintiff(s) Subscribed and affirmed, or sworn to before me in the County of ______________________, State of ________________, this ___________ day of _______________, 20 _______. My Commission Expires: ________________________ ___________________________________ Notary Public/Deputy Clerk JDF 111 R8/05 SATISFACTION OF JUDGMENT PARTIAL OR FULL American LegalNet, Inc. www.FormsWorkflow.com