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(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 vs. 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 # Plaintiff Case No. ______ American LegalNet, Inc. www.USCourtForms.com