STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT CLINTON COUNTY, CARLYLE, ILLINOIS ) Plaintiff ) vs. ) Case No: ) ) Defendant ) Small Claims Dismissal I, the undersigned, having received full payment and satisfaction in the cause of action contained in my complaint against the defendant do hereby move the Court to dismiss this suit. Dated: Plaintiff Plaintiff: Address: City, State, Zip: Phone: Order of Court On the motion of the petitioner this suit is dismissed. Entered: Judge American LegalNet, Inc. www.FormsWorkFlow.com