Fill and Sign the Cancellation Mortgage 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, _________________________________________, does hereby certify that a certain Mortgage described below is hereby RELEASED AND SATISFIED IN FULL and the real estate described therein i s fully released 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 Official Recorder of County, Ohio, on (date). 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 undersigned is the present holder of the above described Mortgage. IN WITNESS WHEREOF, this instrument was executed, signed and delivered by the undersigned on this the ____ day of __________________, 20___. __________________________________ {Type Name] - 2 - Signed, Sealed and Delivered in the presence of: __________________________________ Witness __________________________________ Witness STATE OF _____________________ COUNTY OF _____________________ The foregoing instrument was acknowledged before me this _____________________ (date) by _____________________________________ (name of person acknowledged.) ______________________________ Notary Public Printed Name: _____________________ My Commission Expires: _____________________ This instrument was prepared by: Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: