Fill and Sign the Satisfaction Release or Cancellation of Mortgage by Individual New Hampshire 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:       MORTGAGE DISCHARGE – New Hampshire 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 hereby acknowledged, _________________________________________, does hereby certify that a certain Mortgage described below is hereby RELEASED AND SATISFIED IN FULL and the real estate described therein 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, New Hampshire, 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 ___ . Mortgage Discharge Page 1 of 2 Signature       Print Name STATE OF _________________ COUNTY OF _________________ The foregoing instrument was acknowledged before me this _______________________ (date) by _____________________________________________ (name of person acknowledged). ______________________________ Notary Public Print Name: _______________________ My commission expires: _______________________ Mortgagee Name, Address, phone:                                     Current property Owner(s) Name, Address, phone:                                     Mortgage Discharge Page 2 of 2