JUSTICE COURT, LAS VEGAS TOWNSHIP Clark County, Nevada Name of Plaintiff(s) Case No. Department No. SATISFACTION OF JUDGMENT VERSUS Name of Defendant(s) The Plaintiff hereby acknowledges that the Judgment entered on the _____ day of ___________________. 20___, along with all costs in the above-entitled action, has been satisfied. Accordingly, I hereby authorize and direct the Clerk of the Las Vegas Justice Court to enter this Satisfaction of Judgment. CERTIFICATION OF MAILING The Undersigned certifies on the Satisfaction of Judgment was mailed to day of , 20 , a copy of the at foregoing by depositing a copy in the United States Mail in an addressed sealed envelope, postage prepaid. (Date): (Type or Print Name:) (Signature) Per NRS 53.045, "I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct." (Signature): __________________________________________ (Type or Print Name): _____________________________________ (Date): __________________________________________ Original-File Copy-Plaintiff Copy-Defendant LVJCVL-99 Form Revised 9/13 American LegalNet, Inc. www.FormsWorkFlow.com