Fill and Sign the Person Executing This Instrument is the Present Holder of the above Described Mortgage 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 Clerk of _______________ County, New York, 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 person 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___. __________________________________ {Type Name] - 2 - STATE OF ______________________ COUNTY OF ______________________ On the _______ day of ______________________ in the year _________ before me, the undersigned, personally appeared __________________________, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subsc ribed to the within instrument and acknowledged to me that he/she/they executed the same in hi s/her/their capacity (ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon be half of which the individual(s) acted, executed the instrument. ______________________________ Notary Public Printed Name: ______________________ My Commission Expires: ______________________ Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: