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Promissory Note Release

In consideration of full payment by _____________________, of

_____________________________________, referred to as the Borrower, in the

amount of __________________________ Dollars ($___________________) on the

___ day of ____________________, 20___, I, _____________________, of

_____________________________________, referred to as the Lender, release and

discharge the Borrower from any claims, liabilities, or obligations under the promissory

note dated the ___ day of ____________________, 20___.

The signature below signifies the binding intention of this release to benefit both myself

and any successors.

Signature __________________________ Date _______________

Print Name __________________________

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