FORMS OF RECEIPT ON DISCHARGE OF A MORTGAGE

I, A.B., of (etc.) hereby acknowledge the receipt of the sum of N…………………… representing the {aggregate} {balance remaining owing in respect of the} principal money secured by the within {above} written {annexed} mortgage {and by further charge dated, etc., or otherwise as required} together with all interest and costs,

the payment having been made by C.D. of (etc.) and E.F. of (etc.)

This……………….day of……………………………20……………………………

IN WITNESS OF WHICH THE PARTIES HAVE EXECUTED THIS INSTRUMENT OF TRANSFER IN THE MANNER BELOW THE DAY AND YEAR FIRST ABOVE WRITTEN

SIGNED SEALED AND DELIVERED _____________________

By the within named Mortgagor

In the Presence of:

Name:

Address:

Occupation:

Signature:

SIGNED SEALED AND DELIVERED _____________________

By the within named Mortgagee

In the Presence of:

Name:

Address:

Occupation:

Signature: