Satisfaction of Money Award Page 1 of 1 (Aug 2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF Case No: Plaintiff /Petitioner v. SATISFACTION OF MONEY AWARD Full Partial Defendant /Respondent I, , the judgment creditor, received $ on (date) . This payment is for a General Limited or Supplemental Judgment dated . The judgment is { Fully Partially} satisfied. Date Signature Print Name Contact Address City, State, Zip Contact Phone State of , County of Signed or attested before me on (date) by (name) My commission expires: Signature of notarial officer Title (and rank, if military officer) American LegalNet, Inc. www.FormsWorkFlow.com