Fill and Sign the This is a Partial Release and the above Identified Mortgage Remains in Full Force and Effect as to Form

Partial Release from Mortgage Page 1 of 3 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: 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 Re gistry of Deeds of _______________ County, Maine, on [date] ______________, the following described real property: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: This is a partial release and the above identified mortgage remains in full forc e and effect as to the remaining property. Partial Release from Mortgage Page 2 of 2 The undersigned 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 by the undersigned on this the ____ day of __________________, 20___. 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: Partial Release from Mortgage Exhibit A EXHIBIT A