SUPREME COURT, STATE OF NEW YORK COUNTY OF SUFFOLK ----------------------------------------------------------------x Plaintiff(s) PARTIAL SATISFACTION OF JUDGMENT Index No. -against-----------------------------------------------------------------------------x WHEREAS, a judgment was on the day of Plaintiff, Defendant(s) , , recovered by the against the Defendant, in the above entitled action for the sum of ($ day of , ) Dollars, which judgment was, on the , duly docketed in the office of the Clerk of the County of Suffolk, and whereas said judgment has been paid in part to the extent of the sum of ($ Dollars. THEREFORE, satisfaction of judgment is hereby acknowledged to the extent of the sum of ($ ) Dollars, and the sum of ($ ) Dollars, remains unpaid, and the Clerk of the County of Suffolk is hereby authorized and directed to make an entry of partial satisfaction on the docket of said judgment to the extent. Dated: STATE OF NEW YORK , _________________________________________________________ (The Name signed must be printed underneath) ) )ss.: COUNTY OF___________________) On the_________day of___________________in the year_____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. _________________________________________________________________ Notary Public American LegalNet, Inc. www.FormsWorkflow.com )