Fill and Sign the G a 44 Form

- 1 - 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: PARTIAL RELEASE OF PROPERTY FROM SECURITY DEED (O.C.G.A. §44 -14 -67) FOR VALUABLE CONSIDERATION OF T EN 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 Security Deed described below is h ereby RELEASED AND SATISFIED IN FULL AND CANCELLED and the real estate described therein is fully released from said Security Deed: Date of Security Deed: Executed by (Mortgagor(s)): To and in favor of (Mortgagee): Filed of Record: In Book , Page , Document/Inst. No. , in the Office of the Superior Court Clerk for County, Georgia, on (date). Property : As described in the Security Deed. Given: to secure a certain Promissory Note in the amount of $ payable to Mortgagee. Assignm ent (complete if applicable): The undersigned was assigned the Security Deed by assignment dated and recorded in Book , page Document No. , in the aforesaid recorders Office. The undersigned executing this Cancellation of Security Deed is the present holder of the above described security interest by virtue of being the original grantee or the heir, assign, transferee, or devisee of the original grantee, the clerk of such court is authorized and directed to cancel that deed of record as provide d in Code Section 44 -14 -4 of the O.C.G.A. IN WITNESS WHEREOF, this instrument was executed by the undersigned on this the ____ day of __________________ , 20 ___ . ______________ ____________________ {Type Name] - 2 - Signed, sealed and delivered in the pres ence of: ___________________________________ Witness ___________________________________ Print Name ___________________________________ Notary Public ___________________________________ Print Name My Commission Expires: ___________________________________ (AFFIX SEAL and STAMP) Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: