Fill and Sign the Of Virginia 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 undersigned 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___. __________________________________ {Type Name] - 2 - STATE OF _____________COUNTY OF ____________________ On this the _________ day of ___________________ , _______, before me, the undersigned officer, personally appeared ________________________________________, known to me (or satisfactorily proven) to be the person whose name is/are subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained. In witness whereof I hereunto set my hand and official seal. ___________________________________Notary PublicPrinted Name: _____________________ My Commission Expires: _____________________Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: