Satisfaction of Mortgage
Know All Men By These Presents: That.........
________________________________________
the owner and holder of a certain mortgage deed executed by
da
y of _____________________, ________, recorded in
Book_________
bearing date the_______
Page
__________
in the office of the Clerk of Circuit Court of Clay County, Slate of Florida, securing
certain note in the principal sum of Dollars, and certain promises and obligations set
hereby acknowledge full payment and satisfaction of said note and mortgage deed and surrender the same as canceled and
hereby direct the Clerk of the said Circuit Court to cancel the same of record.
da
y of _______________________
, 20_______
Witness had and seal this________
_
____
Signed, Sealed and Delivered in Presence of
Signature of Witness Signature
Print Name of Witness Print Name
Signature of Witness Signature
Print Name of Witness Print Name
STATE OF FLORIDA
COUNTY OF CLAY
The foregoing instrument was acknowledged before me this ________ day of_________________________________ . 20 ____
by_________________________________________________________________________________________ , who is
personally known to me or has produced______________________________________________________________
as identification and who did/did not take an oath,
_______________________________________
Signature of Notary/Deputy Clerk
_______________________________________
Type or Print Name Prepared by:
Prepared by:
forth in said mortgage deed upon the properly situate in said State and County described as follows, to wit:
Official Record
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