Fill and Sign the Satisfaction Release Mortgage Form

- 1 - This instrument 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: SATISFACTION OF MORTGAGE FOR VALUABLE CONSIDERATION OF TEN DOLLARS ($10.00), and other good and valuable consideration, cash in hand paid, the receipt and sufficiency of which is her eby acknowledged, _________________________________________, does hereby certify that a certain Mortgage described below is hereby RELEASED AND SATISFIED IN FULL and the real estate described t herein is fully released from said Mortgage: Date of Mortgage: Executed by (Mortgagor(s)): To and in favor of (Mortgagee): Filed of Record: In Book , Page , Document/Inst. No. , in the Office of the Register of Deeds of County, Arkansas on (date). Property: As described in the Mortgage. Given: to secure a certain Promissory Note in the amount of $ payable to Mortgagee. Assignment (complete if applicable): The undersigned was assigned the Mortgage by assignment dated and recorded in Book , page Document No. , in the aforesaid recorders Office. The undersigned is the present holder of the above described Mortgage. 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 Public Printed Name: _____________________ My Commission Expires: _____________________ Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: