Fill and Sign the Corporation Executing This Instrument is the Present Holder of the above Described Mortgage 490252476 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------------- 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 hereby acknowledged, _________________________________________, a Corporation organized under the laws of the State of ___________________, does hereby certify that a certain Mortgage described below is hereby RELEASED AND SATISFIED IN FULL and the real estate described therein is fully rele ased 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 Recorder of County, Illinois, 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 Corporation executing this instrument 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___. - 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: