"KNOW ALL BY THESE PRESENTS:
"That _____________________, representing _________________________
does hereby certify and acknowledge, under penalties of perjury, that the promissory note
or other evidence of indebtedness secured by that certain mortgage/deed of trust made by
_________________________________ to ____________________________________
mortgage/trustee(s), dated ___________________ and recorded ____________________
as Instrument No. ____________ among the Land Records of the District of Columbia,
which encumbers the real property described in Exhibit A attached hereto, has been fully
paid and that _______________________ was, at the time of satisfaction, the holder of
the promissory not or other evidence of indebtedness and that the lien of said
mortgage/deed of trust is hereby released.
"The property encumbered by said mortgage/deed of trust is described as follows:
"WITNESS the hand and seal of the party making this certification this ______ day of ______________, _______.
No guidelines are available for this form at this time.