Fill and Sign the Assignment of Mortgage by Individual Mortgage Holder Pennsylvania Form

Prepared by and after Recording Return to: ) ) ) ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use Only-------------Name:       Firm/Company:       Address:       Address 2:       City, State, Zip:       Phone:       Assessor’s Property Tax Parcel/Account Number:       ASSIGNMENT OF MORTGAGE Name and Address of Assignor: Name and Address of Assignee:                                                             FOR VALUE RECEIVED, the receipt and sufficiency of which is hereby acknowledged, the undersigned,       , “Assignor”, whose address is above, does hereby grant, sell, assign, transfer and convey to       , “Assignee,” whose address is above, all interest of the undersigned Assignor in and to the following described 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 Recorder of Deeds of County, Pennsylvania, on (date). Property : As described in the Mortgage. Given: to secure a certain Promissory Note in the amount of $ payable to Mortgagee. Together with the note(s) and obligations therein described or referred to, the money due and to become due thereon, with interest, and all rights accrued or to accrue under said Mortgage. TO HAVE AND TO HOLD the same unto Assignee and unto its successors and assigns forever, subject only to the terms and conditions of the above-described Mortgage. Assignor is the present holder of the above-described Mortgage. Assignment of Mortgage Page 1 of 2 IN WITNESS WHEREOF, this assignment was executed by the undersigned Assignor on this the ____ day of __________________ , 20 ___ . (1 st Grantor’s Signature)       Print Name STATE OF _____________________ COUNTY OF _____________________ On this, the _________ day of _____________________ , _______ , before me _______________________________________ , the undersigned officer, personally appeared _______________________________________ , known to me (or satisfactorily proven) to be the person whose name _____________________________ subscribed to the within instrument, and acknowledged that _______ (he/she/they) executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. ______________________________ Notary Public Printed Name: __________________ My Commission Expires: __________________ CERTIFICATION 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 __________________ Assignment of Mortgage Page 2 of 2