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For and in consideration of ____________________________ Dollars ($_____), the receipt

of which is hereby acknowledged, ______________________________________ of
______________________________, hereby grants, assigns and transfers to
______________________________________, of ____________________________, that
certain mortgage executed by ____________________________, dated _____________,
20_____, and recorded in the office of the ______________________________________ of
__________________ County, State of _______________ in Book of Mortgage, at page
_______, together with the note described therein and the money to become due thereon with
the interest provided therein.

IN WITNESS WHEREOF, ____________________________ the undersigned has executed

this assignment on _____________, 20_____.


STATE OF _____________
COUNTY OF _____________

On __________________________ before me,

_____________________________________ personally appeared
_______________________________________, personally known to me (or proved to me
on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument
the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

WITNESS my hand and official seal.

Signature: __________________________

Affiant _____Known _____Unknown

ID Produced_____________________