IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR JACKSON COUNTY ___________________________________ ___________________________________, Plaintiff(s) vs. CASE NUMBER: ________________ FULL SATISFAC TION OF JUDGMENT ___________________________________ PARTIAL SATISFAC TION OF JUDGMENT ___________________________________, Defendant(s) In consideration of the sum of $_____________, paid to the creditor by the debtor in the above action, creditor hereby authorizes and requests that the clerk of the Court of Jackson County enter a FULL or PARTIAL (circle one) satisfaction of the judgment herein. Dated: _________________________ _______________________________ Creditor’s signature SUBSCRIBED AND SWORN TO BEFORE ME ON ____________________. Trial Court Administrator By: ___________________________________ Court Clerk/Notary Public My commission expires:________________ Public Civil Satisfaction Page 1 of 1 12/24/09 American LegalNet, Inc. www.FormsWorkFlow.com