IN THE PROBATE COURT OF
MONTGOMERY COUNTY, ALABAMA
IN RE: Estate of _________________________
Case No. _____________
DECEASED
SATISFACTION OF CLAIM
The claim filed by __________________________________________________________________________,
dated ___________________ and recorded in ________________________ Book ______, at Page ________ of the
Records in the Office of the Judge of Probate of Montgomery County, Alabama, in the amount of
$_______________ has been paid in full and said claim is hereby fully cancelled, satisfied and
released this _______ day of _______________________, _________.
___________________________________________________
CLAIMANT
STATE OF ____________________________
COUNTY OF __________________________
I, _____________________________________________________, a Notary Public, in and for said
County and State, hereby certify that ____________________________________________________________,
whose name(s) is/are signed to the foregoing Satisfaction of Claim; and who is (are) known
to me, acknowledged before me, that, being informed of the contents of said instrument,
has/have executed the same voluntarily, on the day the same bears date.
Given under my hand and seal this _________ day of _____________________, _________.
{SEAL}
_______________________________________________________
NOTARY PUBLIC
THIS INSTRUMENT WAS PREPARED BY:
Name
_____________________________________
Address _____________________________________
_____________________________________