Case No. Court � County � Division � � PLAINTIFFName: Address: � � VS. � DEFENDANTName: Address: � � � On , as Plaintiff Defendant recovered a judgment of $ against , with interest at % per annum and $ as costs. � � � � � � � � � � � � � Plaintiff Defendant was the owner of the judgment and was entitled to receive payment. � I hereby request that the Court authorize and direct the Clerk of Court to enter into the record satisfaction of � � � � Note: Plaintiff/Defendant must sign this in the presence of the Circuit Clerk so that the Clerk can notarize his/her signature. Date: , 2. � � (Signature) Subscribed and sworn to before me by this day of , 2. � � Clerk � By:D.C. Distribution: File � Plaintiff Defendant AOC- 191Rev. 6-17Page 1 of 1Commonwealth of KentuckyCourt of Justice www.courts.ky.govKRS 24A.200 et seq.; 360.040;CR 79.02MOTION FOR SATISFACTION OF JUDGMENT(SMALL CLAIMS) lexet justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE District Small Claims (Date) � (Name) � (Name) American LegalNet, Inc. www.FormsWorkFlow.com