Satisfaction of Mortgage Lien Release Form

SATISFACTION OF MORTGAGE

I, the undersigned owner of a mortgage, and of the indebtedness secured by it, made by ________________ to ________________ for ________________ Dollars ($__________________) on ________________, 20____________, and recorded in Book ____________, Page ____________ of the Public Records of the above county, do acknowledge that the above-described indebtedness has been paid, and by this instrument do cancel the above-described mortgage.

Dated: ________________, 20____.

__________________________

[Signature]

STATE OF ___________________________

COUNTY OF_______________________________ ss:

I hereby certify that on this day, before me, an officer duly authorized in the state aforesaid and in the county aforesaid to take acknowledgements personally appeared _______________________________ to me known to be the person(s) described in who identified themself(ves) to be the persons described by means of ______________________________________ and who executed the foregoing instrument and acknowledged before me that ________________________executed the same for the purpose expressed.

Witness my hand and official seal in the county and state aforesaid this ____day of ___________________, 20___.

Signature __________________________ Print Name __________________________

Notary Public My Commission Expires______________________

(Seal)