Fill and Sign the Gomrnonwealth of Virginia Cover Sheet Form

- 1 - This instrument 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------------- PARTIAL RELEASE FROM 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 Register of Deeds of _______________ County, Arkansas, on [date] ______________, the following described real property:{Describe Property or Attach description and State "SEE ATTACHED EXHIBIT"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.[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___. {Name of Corporation} __________________________________ BY:{Type Name]TITLE:{Title with Corporation} - 2 - STATE OF _____________ COUNTY OF ___________________ On this the _________ day of ___________________ , __________, before me, the undersigned officer, personally appeared ____________________________________, who acknowledged himself/herself to be the ____________________________________ of ____________________________________, a corporation, and that he/she, as such ____________________________________, being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself/herself as ____________________________________. In witness whereof I hereunto set my hand and official seal. _______________________________________Notary Public Printed Name: ________________________ My Commission Expires: ___________________Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: