RI Partial Release of Mortgage 1

________________ holder of a mortgage by __________ to __________, dated

___________, recorded in the Record of Deeds in __________, in __________ book No.

_______, page _________, for consideration paid, release to ___________ all interest acquired under said mortgage in the following described portion of the mortgaged premises [description].

Witness, this _________ day of ___________, 20______.

________________________________

[Acknowledgment]

No guidelines are available for this form at this time.