___________________ COURT___________________________ COUNTY OF : : : Plaintiff(s) -against: : : : : Defendant(s) : Index No. Calendar No. SATISFACTION OF JUDGMENT WHEREAS, a judgment was recovered by the plaintiff(s), ____________________________________________, against the defendant(s), __________________________________________________, in the above entitled action for the sum of $____________ on the ______ day of _____________, 20____, which judgment was duly entered in the judgment book in the ______________ Court _____________, County of __________________, in book number ______ on page number ____ on the _____ day of _____________, 20____, and which judgment was duly docketed in the judgment book in the office of the Clerk of the County of ____________________ in book number ______ on page number _____ on the _____ day of _____________, 20____, and said judgment has been: wholly paid; partially satisfied with $____________ remaining unpaid; AND it is certified that there are no outstanding executions with any Sheriff or Marshal within the State of New York, THEREFORE, satisfaction of said judgment is hereby acknowledged and the Clerk(s) of the County of _____________ is/are hereby authorized and directed to make an entry on the docket said judgment of: full satisfaction partial satisfaction and cancel, satisfy and discharge the same to that extent. Dated: (Judgment Creditor or Attorney for Judgment Creditor must sign above and type name below; if Corporation, type Title of person authorized to sign on Corporation's behalf (Acknowledgment by a person in New York State - Use Acknowledgment on following page if acknowledgment is by a person outside New York State) State of New York County of ss.: On the _______ day of ____________ in the year 20___ before me, the undersigned, personally appeared ________________________________, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (Signature and office of individual taking acknowledgement) American LegalNet, Inc. www.FormsWorkflow.com (Acknowledgment by a subscribing witness outside New York State) State of ss.: County of On the ________ day of _____________ in the year 20___ before me, the undersigned, personally appeared________________________________, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in ___________________________________________________________. (insert the city or other political subdivision and the state or county or other place the acknowledgement was taken) (Signature and office of individual taking acknowledgement) American LegalNet, Inc. www.FormsWorkflow.com