Fill and Sign the Virginia Satisfaction Form

CERTIFICATE AND AFFIDAVIT OF SATISFACTION COMMONWEALTH OF VIRGINIA       Virginia Circuit Court is the location of the following record referenced by this certificate:                         DATE, DEED OF TRUST/MORTGAGE/OTHER LIEN DEED BOOK NO. PAGE NO. INSTRUMENT NO.       or       TAX MAP REFERENCE NUMBER PARCEL IDENTIFICATION NUMBER       NAME(S) OF GRANTOR(S)/MAKERS       NAME(S) OF TRUSTEE(S) $       AMOUNTS AND TOTAL OF NOTE(S) I/WE, holder(s) of or settlement agent who made payment in satisfaction of the above-mentioned note(s) secured by the above-mentioned deed of trust, mortgage or other lien, do hereby certify that the same has/have been paid in full, and the lien therein created and retained is hereby released.             DATE       [ ] HOLDER OF NOTE(S), BOND(S) OR OTHER EVIDENCE(S) OF DEBT [ ] SETTLEMENT AGENT (CRESPA Registration No       ) (Settlement Agent’s A FFIDAVIT and N OTICE OF I NTENT is attached.) City County of       State/Commonwealth of       Acknowledged, subscribed and sworn to before me this       day of       , 20       by       HOLDER OF NOTE(S), BOND(S) OR OTHER EVIDENCE(S) OF DEBT OR SETTLEMENT AGENT       PRINTED NAME OF NOTARY PUBLIC SIGNATURE OF NOTARY PUBLIC (My commission expires       ) Registration No.       VIRGINIA: IN THE CLERK’S OFFICE OF THE CIRCUIT COURT This certificate and affidavit of satisfaction was presented and, with the Certificate annexed, admitted to record on       at       m. DATE TIME Clerk’s fee of $ .......................... have been paid. ___________________________________, Clerk by________________________________________, Deputy Clerk FORM CC-1505 MASTER 05/08 VA. CODE §§ 55-66.3 to 55-66.7Return To:    GPN #      Prepared By: