Fill and Sign the Mortgage Holder 497321895 Form

After Recording, Return to:                         SATISFACTION OF MORTGAGE KNOW ALL MEN BY THESE PRESENTS, that       ( Mortgagee ) does hereby certify that the certain indenture of Mortgage described below is hereby PAID, RELEASED AND SATISFIED IN FULL and does hereby consent that the same be discharged of record: Executed by Mortgagor:       Principal Sum Secured: $       and interest Recorded in the office of the County Clerk of the County of       Recorded in Liber/Reel/CRFN ______ at Page ______ of Mortgages Date recorded:       Premises:       County:       Section:       Block:       Lot:       Assignment of Mortgage: Has NOT been assigned of record.       was assigned the mortgage by assignment dated       and recorded in Liber/Reel/CRFN ______ at Page ______ of Mortgages, in the office of the County Clerk of the County of       IN WITNESS WHEREOF, this instrument was executed, signed and delivered by the undersigned on this the ____ day of __________________ , 20 ___ . Signature       Print Name of Mortgagee Satisfaction of Mortgage Page 1 of 2 CERTIFICATE OF ACKNOWLEDGMENT Individual Capacity within the State of New York for Real Property State of __________________ , County of __________________ : ss On the       day of       in the year       before me, the undersigned, personally appeared       , personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity , and that by his signature on the instrument, the individual , or the person upon behalf of which the individual acted, executed the instrument. Signature and Office of Person Taking Acknowledgement Type/Print Name:       Individual Capacity Outside the State of New York for Real Property State of __________________ , County of __________________ : ss On the       day of       in the year       before me, the undersigned, personally appeared       , personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity , and that by his signature on the instrument, the individual , or the person upon behalf of which the individual acted, executed the instrument and that such individual made such appearance before the undersigned in the       (insert the city or other political subdivision and the State or country or other place the acknowledgment was taken). Signature and Office of Person Taking Acknowledgement Type/Print Name:       Mortgagee(s) Name, Address and Phone: Owner of Record Name, Address and Phone:                                                 Satisfaction of Mortgage Page 2 of 2