This certifies that a certain mortgage from ___________ to __________, dated __________, 20_____, upon the following tract ___ of land in __________ County, Utah [here describe the premises], and recorded in book __________ of _________, page _________ is hereby cancelled and released.
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Signed in the presence of:
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Recorder of ___________ County
[Acknowledgment]
No guidelines are available for this form at this time.