STATE OF NEBRASKA

Nebraska State Court Form

REQUIRED

CC 4:8 REV 02/2015

Plaintiff,

Case No.

vs.

Defendant.

SATISFACTION OF

JUDGMENT

Comes now the plaintiff, and acknowledges receipt and satisfaction

in full of the

judgment rendered herein.

Certificate of Service

I hereby certify that a copy of this Satisfaction has been sent by first class mail

to the defendant at the following address:

Dated:

By:

Plaintiff

CC 4:8 REV 02/2015

Page 1 of 1 Satisfaction of Judgment

Date:

Signature:

Printed Name:am

Street Address/P.O. Box:

City/State/ZIP Code:

Telephone Number:

Email address:

______________ COUNTY, NEBRASKA

IN THE COUNTY COURT OF

Choose the county