Fill and Sign the Partial Release Form

Prepared by and after Recording Return to: ) ) ) ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use Only-------------Name:       Firm/Company:       Address:       Address 2:       City, State, Zip:       Phone:       Assessor’s Property Tax Parcel/Account Number:       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 Mortgage Record No. __________ , page ___________ , Document/Instrument No. _____________ , in the Office of the Recorder of _______________ County, Indiana, on [date] ______________ , the following described real property: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description:       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. Partial Release from Mortgage Page 1 of 3 [ Complete if applicable: The undersigned is the present holder of the above referenced mortgage, by assignment dated _____________ and recorded in Mortgage Record No. __________ , page ___________ , Document/Instrument No. _____________ , in the Office of the aforesaid recorder.] IN WITNESS WHEREOF, this instrument was executed by the undersigned on this the ____ day of __________________ , 20 ___ . Signature       Print Name STATE OF ______________________ COUNTY OF ________________ Before me, the undersigned, a Notary Public, in and for said County and State, this ______ day of ______________________ , _________ , personally appeared ______________________________________ , said person being over the age of 18 years, and acknowledged the execution of the foregoing instrument. ___________________________ Notary Public Print Name: ______________________ My commission expires: ______________________ I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless required by law. _______________________________       (Name of Preparer) Partial Release from Mortgage Page 2 of 3 “This instrument was prepared by:” Name: ______________________ Firm/Company: ______________________ Address: ______________________ Address 2: ______________________ City, State, Zip: ______________________ Phone: ______________________ Mortgagee Name, Address, phone:                                     Current property Owner(s) Name, Address, phone:                                     Partial Release from Mortgage Page 3 of 3 EXHIBIT A       Partial Release from Mortgage Exhibit A