Fill and Sign the Official Recorder of County Ohio on Date the Following 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------------- 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 Official Recorder of _______________ County, Ohio, 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 forc e and effect as to the remaining property. The Corporation executing this instrument 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___. {Name of Corporation} __________________________________ BY: {Type Name] TITLE:{Title with Corporation} - 2 - Signed, Sealed and Delivered in the presence of: __________________________________ Witness __________________________________ Witness STATE OF ____________________________ COUNTY OF ____________________________The foregoing instrument was acknowledged before me this _______________ (date) by __________________________________ (name of officer or agent, title of officer or agent) of _______________________________________________________________ (name of corporation acknowledging) a ____________________________ (state or place of incorporation) corporation, on behalf of the corporation. ______________________________ Notary Public Printed Name: _____________________ My Commission Expires: _____________________ This instrument was prepared by: _____________________ Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: