(Statutory Form)
C.D., holder of a mortgage by A.B. to C.D., dated ___________, recorded ________ in the ___________ County Registry of Deeds, book __________, page ________, for consideration paid, release to A.B., all interest acquired under said mortgage in the following described portion of the mortgaged premises:
[Description]
Witness _______ hand and seal this ________ day of __________.
[Acknowledgment]
No guidelines are available for this form at this time.