Power Of Attorney

In the Court of Common Pleas of Lancaster County ________________________________ ________________________________ Term ___________________________ ________________________________ ____________________ ________________________________ ________________________________ ______________ ________________________________ ___________________________________________________ _______________ ___________________________________________________ _______________ the plaintiff in the above Judgment, do hereby acknowledge to have received full satisfaction for the same, and hereby authorize and empower the Prothonotary of the Court of Common Pleas of Lancaster County to enter satisfaction thereon and release the same. No. Real Debt, $ WITNESS _____________________ hand and seal the ___________________________ day of __________________________ A.D. 20____ Witnesses Present: ________________________________ ________________________________ ________________________________ __________________________________ [L.S.] __________________________________ [L.S.] __________________________________ [L.S.] COMMONWEALTH OF PENNSYLVANIA, ss. : _____________________________ COUNTY, Before me, the subscriber, a ________________________________________ in and for said County, personally came the above-named ____________________________________________________________ _______________________________ who in due form of law acknowledged the above Power of Attorney to release the above-stated Judgment, to be ___________________ act and deed, to the end that the same might be recorded as such. WITNESS my hand and seal the day and year above written. NOTE: This paper must be acknowledged before a Justice of the Peace, Notary Public, or other officer duly authorized by law to take acknowledgments. American LegalNet, Inc. www.FormsWorkFlow.com __________________________________________[L.S.] NOTE: This paper must be acknowledged before a Justice of the Peace, Notary Public, or other officer duly authorized by law to take acknowledgments. American LegalNet, Inc. www.FormsWorkFlow.com