Fill and Sign the Ks Release Form

This space is reserved for the Register of Deeds ______________________________________________________________________________ DEED OF RELEASE 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 (Mortgagor(s)): To and in favor of (Mortgagee): Filed of Record: In Book , Page , Document/Inst. No. , in the Office of the Recorder of County, Kansas, 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 by the undersigned on this the ____ day of __________________ , 20 ___ . Deed of Release Page 1 of 2 Signature       Print Name STATE OF ______________________ COUNTY OF _________________ This instrument was acknowledged to me on _____________________________ (date) by _____________________________ [name(s) of person(s)]. ______________________________ Notary Public Print Name: _____________________ My commission expires: _____________________ Mortgagee Name, Address, phone:                                     Current property Owner(s) Name, Address, phone:                                     Deed of Release Page 2 of 2