Fill and Sign the In the Aforesaid Recorders Office Form

- 1 - Prepared by and after Recording Return to: Name: Firm/Company: Address: Address 2: City, State, Zip: Phone: Assessor’s Property Tax Parcel/Account Number:      ) )))))))))--------Above This Line Reserved For Official Use Only------------- SATISFACTION OF MORTGAGE FOR VALUABLE CONSIDERATION OF TEN DOLLARS ($10.00), and other good and valuable consideration, cash in hand paid, the receipt and sufficiency of which is hereby acknowledged, _________________________________________, a Corporation organized under the laws of the State of ___________________, does hereby certify that a certain Mortgage described below is hereby RELEASED AND SATISFIED IN FULL and the real estate described therein is fully rele ased from said Mortgage: Date of Mortgage: Executed by (Mortgagor(s)): To and in favor of (Mortgagee): Filed of Record: In Book , Page , Document/Inst. No. , in the Office of the Town Clerk of the city/town of , Rhode Island, on (date). County of: Property: As described in the Mortgage. Given:to secure a certain Promissory Note in the amount of $ payable to Mortgagee. Assignment (complete if applicable): The undersigned was assigned the Mortgage by assignment dated and recorded in Book , page Document No. , in the aforesaid recorders Office. The Corporation executing this instrument is the present holder of the above described Mortgage. - 2 - IN WITNESS WHEREOF, this instrument was executed, signed and delivered by the undersigned on this the ____ day of __________________, 20___. {Name of Corporation} __________________________________ BY: {Type Name] TITLE:{Title with Corporation} STATE OF _____________________ COUNTY OF _____________________ In _____________________ in said County on the _______ day of _____________________, __________ , before me personally appeared _________________________________________ (name/title) of _____________________ , to me known and known by me to be the party executing the foregoing instrument on behalf of said corporation and he/she acknowledged said instrument by him/her executed to be his/her free act and deed, individually and in his/her said capacity and the free act and dee d of said corporation. ______________________________ Notary Public Printed Name: _____________________ My Commission Expires: _____________________ Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: