Know All Men by These Presents, that I, ____________, of _________, the mortgagee named in a certain mortgage given by ______________ to me, dated the ____________
day of ____________, 20______, and recorded with deeds, book _______, Page
_________, do hereby acknowledge that I have received from _________, the mortgagor named in said mortgage, full payment and satisfaction of the same; and in consideration thereof I do hereby cancel and discharge said mortgage, and release and quitclaim unto the said ___________, and his heirs and assigns forever, the premises thereby conveyed.
In Witness Whereof, I hereunto set my hand and seal this ___________ day of
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