OR Release of Mortgage 1

Know All Men by These Presents, that, ________, do hereby certify and declare that a certain ___________ mortgage, bearing date the ____________ day of _______,

20________, made and executed by _________ to ___________ and recorded in the office of the ___________ of the county of ________, State of Oregon, in book _______

of _____________ mortgages on page ________ on the _________ day of _________, 20________, together with the debt thereby secured, if fully paid, satisfied and discharged.

In Witness Whereof ________ have hereunto set ___________ hand and seal the _______ day of ____________, 20______.

_______________________________ [Seal]

Executed in the presence of :

________________________________

________________________________

[Acknowledgment]

No guidelines are available for this form at this time.