IN Notice of Intent to Execute and Record Certificate of Release 1

[DATE]

[LENDER OR LENDER'S SERVICER]

[ADDRESS OF LENDER OR LENDER'S SERVICER]

RE:NOTICE OF INTENT TO EXECUTE AND RECORD CERTIFICATE OF RELEASE

On ________________ [DATE], _______________________ [AGENT] received a payoff statement for a Real Estate Mortgage to ____________________ [Mortgagor] recorded ______________ as Instrument No. _______________ in the Office of the Recorder of _____________ County, Indiana. Said Real Estate Mortgage was last assigned to __________________ as reflected in Instrument No. _______________ in the Office of the Recorder of _____________ County, Indiana. You or your Mortgage Servicer, ______________ , sent this payoff statement for the full payment of the Real Estate Mortgage. In accordance with the payoff statement, on __________________ [DATE], _______________________ [AGENT] sent this full payment pursuant to you or your Mortgage Servicer by bank check, certified check, escrow account check, or trust account check. At this time, you or your Mortgage Servicer have not executed and recorded a release of the Real Estate Mortgage. If you do not execute and record a release of the Real Estate Mortgage within sixty (60) days after full payment was made, _______________________ [AGENT] on behalf of mortgagor will execute a Certificate of Release pursuant Indiana Code 32-29-6 et seq. An unexecuted copy of the proposed Certificate of Release has been attached for your review.

Sincerely,

___________________________ [AGENT]

Enclosure

No guidelines are available for this form at this time.