Fill and Sign the Assessors Property Tax Parcelaccount Form

Partial Satisfaction of Mortgage Page 1 of 3Prepared 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------------- PARTIAL SATISFACTION OF MORTGAGE KNOW ALL MEN BY THESE PRESENTS that _______________________, do(es) hereby release from that certain mortgage dated _______________________ , executed by _______________________, Mortgagor(s), to _______________________, “Mortgagee”, and recorded in Book __________, page ___________ , Document/Instrument No. _____________, in the Office of the Recorder of Deeds of _______________ County, Pennsylvania, on [date] ______________, the following described real property: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: This is a partial release and the above identified mortgage remains in full force and effect as to the remaining property.The Corporation executing this instrument is the present holder of the above described Mortgage. Partial Satisfaction of Mortgage Page 2 of 3[Complete if applicable: The undersigned is the present holder of the above referenced mortgage, by assignment dated _____________ and recorded in Book __________, page ___________, Document/Instrument No. _____________, in the Office of the aforesaid recorder.]IN WITNESS WHEREOF, this instrument was executed, signed and delivered by the undersigned on this the ____ day of __________________ , 20___. CORPORATION NAME Attest: Secretary By: Signature and Title Type or Print Name STATE OF _____________________COUNTY OF _____________________ On this, the ____________ day of _____________________, _______, before me __________________________________________, the undersigned officer, personally appeared __________________________________________, who acknowledged himself/herself/themselves to be the _____________________________________ of _______________________________________, a corporation, and that he/she/they as such _____________________ being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself as _____________________. In witness whereof, I hereunto set my hand and official seal. ______________________________Notary PublicPrinted Name: _____________________ My Commission Expires: _____________________ Partial Satisfaction of Mortgage Page 3 of 3CERTIFICATION OF GRANTEE’S ADDRESS:Grantee Name and Address:Grantee Name and Address: I hereby certify under penalty of perjury that the above information is true and accurate.Date: Signature Rank/Position __________________ Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: Partial Satisfaction of Mortgage Exhibit A EXHIBIT A