[list name of person discharging the mortgage - the "mortgagee"], an individual with an address of [list address of mortgagee], the sole owner and holder of a mortgage dated [list date mortgage was signed], in the amount of $[e.g. 50,000.00], and executed by [list name of person signing the mortgage - the "mortgagor"], an individual with an address of [list name of mortgagor], which mortgage was recorded [list where and when mortgage was recorded], does hereby:

    1. Certify that the above mortgage and the debt secured by such mortgage are fully paid, satisfied and discharged, and that the mortgage is fully and forever released from the property described therein;

    2. Release to the person or persons legally entitled thereto all right, title and interest that the undersigned may have acquired in and to the property by reason of such mortgage; and

    3. Authorize and direct the Register of Deeds of said county to discharge and cancel the mortgage of record.


    IN WITNESS WHEREOF, this Discharge of Mortgage is executed under 

seal on the__________day of_________________, 19_____.

Executed in the presence of:

______________________________ ____________________________(Seal) (Signature of witness) [list name of mortgagee]

______________________________ (Signature of witness) STATE OF _____________________

COUNTY OF ____________________

In _______________, on the _____________ day of ____________, 19___, before me, a Notary Public in and for the above state and county, personally appeared [list name of mortgagor], known to me or proved to be the person named in and who executed the foregoing instrument, and being first duly sworn, such person acknowledged that he or she executed said instrument for the purposes therein contained as his or her free and voluntary act and deed.

                            NOTARY PUBLIC 

My Commission Expires: ________


After recording, return to:_____________________________________