Fill and Sign the Recorder of County Wyoming on Date the Following Described 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 Recorder of _______________ County, Wyoming, 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___. - 2 - {Name of Corporation} __________________________________ BY: {Type Name] TITLE:{Title with Corporation} STATE OF ___________________ COUNTY OF ___________________ The foregoing instrument was acknowledged before me this ___________________ (date) by ___________________ . Witness my hand and official seal. (Seal) Notary Public Printed Name ___________________ My Commission Expires: _____________ Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: