FORM 76. (Sec. 55) NOTE On the filing of this Certificate an entry should be made by the Recorder in Column 10 (Cancelled) of the line of the Registered Certificate on which the Memorial of the judgment was entered, giving the number of this instrument of cancellation, date filed and signature of Recorder (Sec. 55). Proper entries of cancellation should also be made in the Index of Liens (Sec. 43). CLERKS CERTIFICATE OF SATISFACTIO N AND CERTIFICATE OF JUDGMENT AGAINST REGISTERED LANDS. (Sec. 55) I, ________________________________________________________________, Clerk of the ______________________________________ Court of _________________________County, Ohio, do hereby certify that the judgment or decree rendered by said Court on the ______________ day of _____________________, ________, in favor of _____________________ and against ________________________________________________________________________ _ for the sum of __________________________________________ dollars ($___________________) debt and _______________________________________________ dollars ($___________________) costs in a certain action pending in said Court, No. _________ on the docket thereof, wherein ____________________________, Plaintiff___, and _______________________________, Defendant___, which said judgment or decree more fully and at large appears in Journal _______________, page _____________, of said Court, was on the ___________ day of ____________________________, ________, ________________________________________ by the (Canceled, discharged or vacated) following which appears on the records of said Court in ________________________________ (Name of record) No. ____________ page ____________, to wit: Witness my hand and the seal of said Court American LegalNet, Inc. www.USCourtForms.com>>>> 2 this ______ day of __________________,20______. _______________________________________, Clerk By___________________________________, Deputy Form 73a. (Sec. 75) DESCRIPTION OF LANDS AFFECTED. (Sec. 75) The lands which are to be affected by the filing of the within Certificate in the Office of the Recorder of _____________________ County, Ohio, are described in Registered Certificates of Title as follows, to wit: Certificate No. Issued to Date Registration Book Page ___________________________, Judgment Debtor. By ________________________________, Attorney. American LegalNet, Inc. www.USCourtForms.com>>>> 3 MENT GOF JUD E OF ERTIFICATS CCLERKNo. ____________________ _______ Document No. ________RTIFICATE & CEION TCSATISFA ______________________________ Court _____________ County, Ohio. of ______________________________________________________________________________________________________ Against ______________________________________ ___________________________________ _________________________ Amount $ ______. Date _____________________, 20_ ___________________________________Filed in Recorders Office of ____________________________ County, Ohio, on the __________________ day of __, at _______________________, 20____ M. ck ______________________ oclo___________________________________ Recorder. ___________________________________d Entered as Memorials on Registere ______________ of Title Nos.Certificates ___________________________________ Recorder. American LegalNet, Inc. www.USCourtForms.com