Know all Men by These Presents, that __________, of the _________ of _________ and State of ___________, do hereby certify that a certain indenture of mortgage bearing date the _______ day of _______, 20_______, _________, made and executed by ________,
of the first part, to _______________, of the second part, and recorded in the Register's Office for the County of ___________ and State of _____________ in Liber____ of Mortgages, on page ____ on the __________ day of _______, 20_______, is fully paid, satisfied and discharged,
In Witness Whereof, _________ have hereunto set _______ hand _____ and seal ____
the __________ day of __________, 20_______.
Signed, sealed and delivered in presence of:
This instrument was prepared by [name and address].
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