ND Certificate of Discharge 1

This certifies that a certain mortgage executed by _____________________, of

_________________, mortgagor, to _________, of ________, mortgagee, dated the ________ day of, 20_______, upon the ______________ [here describe the property covered by the mortgage] and recorded in the office of the register of deeds in and for the county of ______________ and state of North Dakota, in book ________ of Mortgages on page ____________, is paid and satisfied; and ___________ hereby authorize and require said register of deeds to discharge the same of record in this office.

Witness _________ hand this __________ day of _________, 20_______, A.D.

_________________________________

[Acknowledgment]