APPLICATION FOR ORDER OF SATISFACTION OF JUDGMENT(S) DUE TO DISCHARGE IN BANKRUPTCY INSTRUCTIONS FOR FILING • Complete the "Application for Order of Satisfaction of Judgment(s) Due to Discharge in Bankruptcy" form and make an extra copy for the court to return to you. • Attach a copy of the "Order of Discharge" from Bankruptcy Court. • Attach a copy of the bankruptcy schedule showing the judgment creditor. (No such document is required, as long as the document itself declares that each judgment creditor has been notified of the bankruptcy in some specifically noted manner.) • NOTE: If you have more than one judgment that you want the court to satisfy, you must submit two sets of all documents for each case file. You must also include $5 for each judgment you are requesting satisfied. • File all documents, together with a $5 satisfaction fee (for each judgment) and a self-addressed, stamped, envelope in the Clerk of Court's Office. Dane County Courthouse 215 South Hamilton Street Room 1000, Madison, WI 53703. • Serve a copy of the completed application and attached proposed order on each judgment creditor for each of the judgments described in the application within 5 business days after the date of submission. [Sec. 806.19(4), Stats.] • After the judge signs the form, a copy will be returned to you in the envelope you provide. 12/10 American LegalNet, Inc. www.FormsWorkFlow.com APPLICATION FOR ORDER OF SATISFACTION OF JUDGMENT(S) DUE TO DISCHARGE IN BANKRUPTCY TO: Clerk of Circuit Court Dane County 1. ____________________________(name of judgment debtor) has received an order of discharge of debts under the bankruptcy laws of the United States, a copy of which is attached, and _______________________________(name of judgment debtor) applies for satisfaction of the following judgments (list all judgments by case name, case number and date): Case Number Case Name Judgment Date 2a. Copies of the schedules of debts as filed with the bankruptcy court showing each judgment creditor for each of the judgments described above are attached; or 2b. Each judgment creditor for each of the judgments described above has been duly notified of the bankruptcy case in the following manner (indicate manner - i.e., Notice from Bankruptcy Court): 3. The undersigned believes that each judgment listed above has been discharged in bankruptcy, and no inconsistent ruling has been made by, or is being requested by any party from, the bankruptcy court. Dated this ___________ day of _____________________, 200___. ______________________________ Judgment Debtor/Attorney ______________________________ ______________________________ (Address and phone number) ORDER OF SATISFACTION The clerk of circuit court is directed to indicate on the judgment and lien docket that each judgment described in the attached application has been satisfied. Dated this___________ day of _______________________, 200___. BY THE COURT: ______________________________ Circuit Court Judge 12/10 American LegalNet, Inc. www.FormsWorkFlow.com