I, (full name of mortgagee), Filipino, of legal age, single (or married to
___________________), with residence and post-office address at ______________________, having received PARTIAL PAYMENT in the sum of_______________________________ PESOS (P________), to me in hand paid by (full name of mortgagor), of legal age, single (or married to __________________) with residence and post-office address at __________________________________________, hereby by these presents PARTIALLY RELEASE and DISCHARGE that certain mortgage of real estate with all the improvements thereon, covered by Transfer (or Original) Certificate of Title No.______ of the Registry' of Deeds of _______________________which real estate mortgage was executed on ____________________, 2____, by the said _______ before Notary Public _________________ for and in ___________ (Notarial register document no. _____, Page no. _____, Book no.______, series of__________, and duly registered in the Registry of Deeds of ______________________ on ________________________ as per Primary Entry No.________, Volume ____________ of the Day Book of the said Registry of Deeds), said release and discharge to apply only in so far as, and with respect only to, that certain parcel of land particularly described as follows to wit: __________________________ (description) __________________________ embraced and covered by Transfer (or Original) Certificate of Title No.______________ of the Registry of Deeds of __________________: Provided however, that the said MORTGAGE shall remain in full force and effect as regards each and all the other real property NOT released and discharged herein.