Fill and Sign the Liability Foreclosure Form

Notice of Intention to Foreclose and of Liability for Deficiency after Foreclosure of Mortgage To: ________________________ (Name of Debtor) of _____________________________________________ (street address, city, county, state, zip code) : You are hereby notified in accordance with the ________________________ (citation of statute), of my intention, on ________________________ (date), to foreclose by sale under the Power of Sale for breach of condition, the Mortgage held by me on property located on _____________________________________________ (street address, city, county, state, zip code) and recorded in the ________________________ (Name of County) Registry of Deeds, in Book __________________ at Page __________________ , to secure a note (or other obligation) signed by you, for the whole, or any part, of which you may be liable to me and in case of a deficiency in the proceeds of the Foreclosure Sale to hold you liable for the whole or any part thereof still remaining unpaid. Very truly yours, _________________________________ (Printed Name of Holder of Mortgage) ________________________ (Signature of Holder of Mortgage) Affidavit I hereby certify on oath that on the ________________________ (date), I mailed by registered or certified mail with return receipt requested, the notice a copy of which is hereinabove set forth, direct to such person or persons at the address therein named that was the last address of such person known to me at the time of mailing or to such person or persons at the address therein named that was the person and the address agreed upon in said Mortgage. _________________________________ (Printed Name of Holder of Mortgage) ________________________ (Signature of Holder of Mortgage) Subscribed and sworn to before me this ________________________ (date). _________________________ (Notary Public) My Commission Expires: __________________