Fill and Sign the Described below is Hereby Released and Satisfied in Full and the Real Estate 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 ($10.00), and other good and valuable consideration, cash in hand paid, the receipt and sufficiency of which is hereby acknowledged, ______________________________, does hereby certify that a certain Mortgage described below is hereby RELEASED AND SATISFIED IN FULL and the real estate described therein is fully released from said Mortgage: Date of Mortgage: Executed by: For benefit of: , Original Beneficiary. Filed for record in the Register’s office for County, Nebraska, as Instrument No. ____________, Book ____________, Page ____________. Given to secure a certain Promissory Note in the amount of ($ ) payable to Beneficiary. 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___. {Name of Corporation} __________________________________ BY: {Type Name] TITLE:{Title with Corporation} - 2 - STATE OF _________________ COUNTY OF _________________ The foregoing instrument was acknowledged before me this ________________________ (date) by ______________________________________ (name of officer or agent, title of officer or agent) of _____________________________________________ (name of corporation acknowledging) a ______________________________________ (state or place of incorporation) corporation, on behalf of the corporation. _________________________________ Notary Public Printed Name: ________________________ My Commission Expires: ________________________