RELEASE OF MORTGAGE

The undersigned, , of
, hereby certifies that the mortgage, dated , (year), executed
by , as mortgagor, to ,
as mortgagee, and recorded on , (year), in the office of the
of the County of , State of ,
in the Book of Mortgages, page , together with the debt secured by said mortgage, has
been fully paid, satisfied, released, and discharged, and that the property secured thereby has
been released from the lien of such mortgage.
IN WITNESS WHEREOF, the undersigned has executed this release on
,
(year).
___________________________________
Signature of Mortgagee
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________________________
(Seal)
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