DISCHARGE OF REAL ESTATE MORTGAGE

KNOW ALL MEN BY THESE PRESENTS:

I, (full name of mortgagee), Filipino, of legal age, single (or married to

___________________), with residence and post-office address at _____________________,
having received the full consideration of the sum of ____________________________ PESOS
(P____________), to me in hand paid by (full name of mortgagor), of legal age, single (or
married to ____________) with evidence and post-office address at ______________________,
hereby by these presents forever 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 ________________________ as per his Notarial register document no.___, Page
no.______, Book no._____, series of _____________, and duly registered inthe Registry of
Deeds of ________________________ on ________________ as per Primary Entry No.______,
Volume _______ of the Day Book of the said Registry of Deeds.

IN WITNESS WHEREOF, I have hereunto set my hand this__ day of

____________________, 2____, in____________________, Philippines.

______________________
(Mortgagee)

WITNESSES:
____________________ ____________________

ACKNOWLEDGMENT