Fill and Sign the Undersigned on This the Day of 20 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 Town Clerk of the Town of , Vermont, 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} Signed, Sealed and Delivered in the presence of: __________________________________ Witness __________________________________ Notary STATE OF __________________ COUNTY OF __________________ At ___________________ this ____________ day of ___________________, ____________, personally appeared __________________________ duly authorized agent of __________________________ and he/she/they acknowledged this instrument, by him/her/ them sealed and subscribed, to be his/her/their free act and deed of ________________________________. Before me, ___________________ Notary Public Print Name: _____________________ My commission expires: ___________________ Mortgagee Name, Address, phone: Current property Owner(s) Name, Address, phone: