Fill and Sign the In Witness Whereof This Instrument Was Executed Signed and Delivered by the 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 Town Clerk of the Town of , Vermont, 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 __________________________________ Notary STATE OF __________________ COUNTY OF __________________On this _______ day of __________________, ______________, before me personally appeared __________________________________ (name of person acknowledging) to me known to be the person who executed the foregoing instrument, and ________ he/she/they thereupon duly acknowledged to me that ________ he/she/they executed the same to be ________ his/her/their free act and deed. ______________________________ Notary Public Print Name: __________________ My commission expires:__________________ Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: