Fill and Sign the Town Clerk of the City Town of Rhode Island on Date the 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 Town Clerk of the City/ Town of _______________, Rhode Island, 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 Corporation 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___. {Name of Corporation} __________________________________ BY: {Type Name] TITLE:{Title with Corporation} - 2 - STATE OF _____________________ COUNTY OF _____________________In _____________________ in said County on the _______ day of _____________________, __________ , before me personally appeared _________________________________________ (name/title) of _____________________ , to me known and known by me to be the party executing the foregoing instrument on behalf of said corporation and he/she acknowledged said instrument by him/her executed to be his/her free act and deed, individually and in his/her said capacity and the free act and dee d of said corporation. ______________________________ Notary Public Printed Name: _____________________ My Commission Expires: _____________________ Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: