Notice and Direction

TO: Name of Mortgage Borrower (Mortgagor)

TAKE NOTICE that the undersigned has assigned to Name of New Mortgage Lender (the
"Assignee") all of my right, title and interest in and to the mortgage dated Date of Mortgage and
registered on Date of Registration/Recordal of Mortgage as Number Registration Number of
Mortgage, in respect of the property described as Brief Description of Property (ie. 123
Whiteacre Road, Anyplace, Anywhere).

You are hereby authorized and directed to make all future payments under the said mortgage
directly to the Assignee as follows:

Name of Assignee
Address of Assignee

Telephone No. of Assignee

Let this be your good and sufficient authority for so doing.

Dated:

Witness Name of Original Mortgage Lender

(Mortgagee)