(Revised 7/05) File Stamp Date Case Number ______ Prepared by: Filer’s name, SC# Filer’s address Filer’s phone number {Filer’s fax phone number} {Filer’s e-mail address} Attorney for Plaintiff In The District Court of ______ County, Kansas Plaintiff’s name Plaintiff vs. Case No. ______ Defendant’s name Defendant Defendant’s address Pursuant to Chapter 61 of Kansas Statutes Annotated SATISFACTION OF JUDGMENT The judgment in this matter is fully satisfied as to the following party(ies): _________ _____________________________________________________________________. _______________________________ Judgment Creditor or Attorney Signature SC # American LegalNet, Inc. www.USCourtForms.com