Fill and Sign the Pennsylvania Short Pa Form

MORTGAGE MADE the ______________ day of ______________, 20______________, From _______________________________________, an individual, whose address is: _________________________________________________________________________ (hereinafter called " MORTGAGOR") TO ___________________________________________, an individual, whose address is: __________________________________________________________________________ (hereinafter called " MORTGAGEE") WHEREAS, MORTGAGOR has executed and delivered to MORTGAGEE a certain Mortgage Note or instrument (hereinafter called "NOTE") of even date herewith, in the principal sum of ______________ ($______________ lawful money of the United States of America, together with interest thereon at the rate provided in the NOTE until the indebtedness is paid in full and in the manner and at the times therein set forth, with the final payment of principal and interest, if not sooner paid, due and payable on the _____ day of __________, ____, and containing certain other terms and conditions, all of which are specifically incorporated herein by reference. NOW, THEREFORE, MORTGAGOR , in consideration of said debt or principal sum and as security for the payment of the same and interest as aforesaid, together with all other sums payable hereunder or under the terms of the NOTE, does grant and convey unto MORTGAGEE, its successors and assigns, as the case may be: ALL ______________ TOGETHER with the buildings and improvements, now or hereafter erected thereon, the appurtenances thereunto belonging and all streets, lanes, alleys, passages, rights, liabilities, privileges, hereditaments and appurtenances whatsoever thereto and the reversions, remainders, rents, issues and profits thereof and any other sums hereafter intended by the MORTGAGOR and MORTGAGEE to be secured hereby. TO HAVE AND TO HOLD the same unto MORTGAGEE, its successors and assigns forever. PROVIDED HOWEVER , That if MORTGAGOR shall pay to MORTGAGEE the aforesaid debt or principal sum, and all, other sums payable by MORTGAGOR to MORTGAGEE hereunder and under the terms of the NOTE, together with interest thereon, and shall keep and perform each of the other covenants, conditions and agreements hereinafter set forth, then this Mortgage and the estate hereby granted and conveyed shall become void. In case default be made for the space of ______________ days in the payment of any installment of principal or interest pursuant to the terms of the NOTE, or in the performance by MORTGAGOR of any of the other obligations of the NOTE or this Mortgage, the entire unpaid balance of said principal sum, and all other sums paid by MORTGAGEE pursuant to the terms of the NOTE or this Mortgage, together with unpaid interest thereon, shall at the option of MORTGAGEE and without notice become immediately due and payable, and foreclosure proceedings may be brought forthwith on this Mortgage and prosecuted to judgment, execution and sale for the collection of the same, together with costs of suit and an attorney's commission for collection of the total indebtedness. MORTGAGOR hereby forever waives and releases all errors in said proceedings, waives stay of execution, the right of inquisition and extension of time of payment, agrees to condemnation of any property levied upon by virtue of any such execution, and waives all exemption from levy and sale of any property that now is or hereafter may be exempted by law. The covenants, conditions and agreements contained in this Mortgage shall bind, a nd the benefits thereof shall inure to the respective parties hereto and their respe ctive heirs, executors, administrators, successors and assigns as the case may be. If this Mortgage is executed by more than one person, the undertakings and liability of each shall be joint and several NOTICE - THIS DOCUMENT MAY NOT (DOES NOT) SELL, CONVEY, TRANSFER, INCLUDE OR INSURE THE TITLE TO THE COAL AND RIGHT OF SUPPORT UNDERNEATH THE SURFACE LAND DESCRIBED OR REFERRED TO HEREIN, AND THE OWNER OR OWNERS OF SUCH COAL MAY HAVE (HAVE) THE COMPLETE LEGAL RIGHT TO REMOVE ALL OF SUCH COAL AND, IN THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE, BUILDING OR OTHER STRUCTURE ON OR IN SUCH LAND. THE INCLUSION OF THIS NOTICE DOES NOT ENLARGE, RESTRICT OR MODIFY ANY LEGAL RIGHTS OR ESTATES OTHERWISE CREATED, TRANSFERRED, EXCEPTED OR RESERVED BY THIS INSTRUMENT. [This notice is set forth in the manner provided in Section I of the Act of July 17,1957, P.L. 984, as amended.] WITNESS the hand and seal of the said MORTGAGOR WITNESS: __________________________ __________________________ _________________________________SEAL COMMONWEALTH OF ______________ ) )SS: COUNTY OF ______________ ) On this, the ___________ day of ___________, 20_____, before me, a Notary Public, personally appeared ________________________________, known to me (or satisfactorily proven) to be the person(s) whose name(s) 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 hand and official seal. My Commission Expires: ____________________________ ____________________ NOTARY PUBLIC FOR VALUE RECEIVED, the MORTGAGEE within named does hereby sell, assign, transfer and set over unto ____________________, the ________________, dated ____________, recorded in _________________________. WITNESS my hand and seal this _______day of _________20___. ATTEST: _________________________________ ________________________________SEAL _________________________________ ________________________________SEAL Mortgagee or agent for Mortgagee COMMONWEALTH OF PENNSYLVANIA , ) )SS: COUNTY OF _________________________ ) On this the _________day of _________20____, before me, a Notary Public, personally appeared ____________________________MORTGAGEE within named and acknowledged that the above assignment to be _________________ act and deed, to the end that it may be recorded as such. IN WITNESS WHEREOF , I hereunto set my hand and official seal. ______________________________ NOTARY PUBLIC My Commission Expires:__________________________