Fill and Sign the Security Deed 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------------- CANCELLATION OF SECURITY DEED (O.C.G.A. §44-14-67) 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, _________________________________________, a Corporation organized under the laws of the State of ___________________, does hereby certify that a certain Security Deed described below is hereby RELEASED AND SATISFIED IN FULL AND CANCELLED and the real estate described therein is fully released from said Security Deed: Date of Security Deed: Executed by (Mortgagor(s)): To and in favor of (Mortgagee): Filed of Record: In Book , Page , Document/Inst. No. , in the Office of the Superior Court Clerk for County, Georgia, on (date). Property: As described in the Security Deed. Given:to secure a certain Promissory Note in the amount of $ payable to Mortgagee. Assignment (complete if applicable): The undersigned was assigned the Security Deed by assignment dated and recorded in Book , page Document No. , in the aforesaid recorders Office. The Corporation executing this Cancellation of Security Deed is the present holder of the above described security interest by virtue of being the original grantee or the heir, assign, tra nsferee, or devisee of the original grantee, the clerk of such court is authorized and directed to canc el that deed of record as provided in Code Section 44-14-4 of the O.C.G.A. - 2 - IN WITNESS WHEREOF, this instrument was executed by the undersigned on this the ____ day of __________________, 20___. {Name of Corporation} __________________________________ BY: {Type Name] TITLE:{Title with Corporation} Signed, sealed and delivered in the presence of: ___________________________________ Witness ___________________________________ Print Name __________________________________ Notary Public ___________________________________ Print Name My Commission Expires: ___________________________________ (AFFIX SEAL and STAMP) Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: