The undersigned, of __, hereby certifies that the mortgage, dated, executed by
, as mortgagor, to,
as mortgagee, and recorded on,in the office of the County of
, State of , in the Book of Mortgages, page ,together with the debt secured by said mortgages, 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.
On, beforeme, personally appeared ,personally knows 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/theirauthorized capacity(ies), and that by his/her/their signatures(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.