I hereby certify that the following described mortgage is paid in full and satisfied, viz.: _____________, mortgagor, to ________, mortgagee dated ________, 20_______, and recorded in book ________, page ________, of the land records of the town of ________.
Witness my hand and seal this ________ day of ________, 20_______.
In presence of:
No guidelines are available for this form at this time.