IN THE PROBATE COURT OF MONTGO MERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE CERTIFICATE OF JUDGMENT FOR LIEN UPON LANDS AND TENEMENTS (Ohio R.C. 2329.04) I, Alice O. McCollum, Judge and Clerk Ex Officio of the Probate Court of Montgomery County, Ohio, do hereby certify that on ______________________ (Date of Judgment) a judgment or decree was rendered by this Court in favor of the judgment creditor(s): _____________________________ Plaintiff(s) And against judgment debtor(s) ____________________________ Defendant(s) In the amount of $ ______________________, interest at the rate of ______ % from ________________________, costs amounting to $ ___________ in a certain action pending in this Court, being Case Number ______________________ on the docket: ____________________________________________________________________ (Caption of the Case) in which this judgment or decree is entered in this Court. ______________________________ P robate Judge ______________________________ (seal) Deputy Clerk ______________________________ D ate M.C. Form E.1 Certificate of Judgmnt for Liee n Upon Lands and Tenements