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Notice

TO: Name of Mortgage Lender (Mortgagee)

RE: Mortgage dated Date of Mortgage in respect of the property described as Brief
Description of Property (ie. 123 Whiteacre Road, Anyplace, Anywhere)

You are hereby notified that the undersigned will be paying you the sum of [Amount owing on
Mortgage on Date of Payout] to pay off the above mentioned mortgage on Date of Payoff of
Mortgage.

Dated this _____ day of ____________________, 20_____.

Name of Mortgage Borrower


(Mortgagor)

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