COMMONWEALTH OF PENNSYLVANIA 
COUNTY OF

Mag. Dist. No:

MDJ Name:

Address:

Telephone:

REQUEST FOR ENTRY OF 
SATISFACTION

_________________________
v.

_________________________

Docket No:
Case Filed:

I, 
been  satisfied.  Therefore,  pursuant  to  Pa.R.Civ.P.M.D.J. 341,  I  request 
creditor(s), enter satisfaction in this matter within 90 days of service of this request.

,  hereby  declare  that  the  judgment  entered against 

has 
,  the judgment 

Date

Signature of Requestor

NOTICE:  A  judgment  creditor  who  willfully  or  unreasonably  fails  without  good  cause  or  refuses  for  more  than  90  days  after  service  of 
the  Request  for  Entry  of  Satisfaction  to  comply  with  the  Request,  may  be  liable  for  damages  pursuant  to  42  Pa.C.S.  sec.  8104(b).  
The judgment creditor should return the completed Entry of Satisfaction (MDJS 316A) to the court at the above-listed address.

Date

Magisterial District Judge

SEAL

MDJS 316

1

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