MI Discharge of Mortgage 1

(Common Form)

Know all Men by These Presents, that __________, of the _________ of _________ and State of ___________, do hereby certify that a certain indenture of mortgage bearing date the _______ day of _______, 20_______, _________, made and executed by ________,

of the first part, to _______________, of the second part, and recorded in the Register's Office for the County of ___________ and State of _____________ in Liber____ of Mortgages, on page ____ on the __________ day of _______, 20_______, is fully paid, satisfied and discharged,

In Witness Whereof, _________ have hereunto set _______ hand _____ and seal ____

the __________ day of __________, 20_______.

____________________________________________ [L.S.]

Signed, sealed and delivered in presence of:

______________________________________

______________________________________

[Acknowledgment]

This instrument was prepared by [name and address].