Fill and Sign the Virginia Cancellation Form

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:       CERTIFICATE OF SATISFACTION Place of Record: __________________ Date of Note/Deed of Trust: __________________ Face Amount Secured/Face Amount of Note: __________________ Deed Book: __________________ Page: __________________ Name(s) of Grantor(s)/Maker(s): __________________ Name(s) of Trustee(s): __________________ Face Amount of Note(s) $: __________________ I/we, holder(s) of the above-mentioned note(s) secured by the above-mentioned deed of trust, do hereby certify that the same has/have been paid in full, and the lien therein created and retained is hereby released. GIVEN UNDER MY/OUR HAND(S) THIS ____ DAY OF __________________ , 20 ____ [NOTE HOLDERS] _________________________________ _________________________________ State of _______________ County/City of __________________ Subscribed, sworn to and acknowledged before me by __________________ this ____ day of __________________ , 20 ___ . My Commission Expires: __________________ ___________________________ NOTARY PUBLIC IN THE CLERK'S OFFICE OF THE CIRCUIT COURT This certificate was presented, and with the Certificate annexed, admitted to record on this ____ day of __________________ , 20 ___ , at ____ o'clock ____ m. Clerk's fees: $ ____ have been paid. Attest: _________________________________ Deputy Clerk