Satisfaction Or Release Of Mortgage, Claim Of Lien Or Preferred Mortgage Form printable pdf download

Satisfaction Or Release Of Mortgage, Claim Of Lien Or Preferred Mortgage Form

S A M P L E

(Oct. 2007)

SATISFACTION OR RELEASE OF

MORTGAGE, CLAIM OF LIEN or PREFERRED MORTGAGE

Vessel Name and Official Number: ________________________________________________

Name of Mortgagor (if any):_______________________________________________

Name of Mortgagee OR Claimant: _________________________________________________

Amount of Mortgage or Claim of Lien: ________________________________________

Recorded in Book No./Batch No. ____________, Page No/Document ID ____________

Mortgagee or Claimant requests that the indebtedness referenced above be discharged from the record of

subject vessel.

Signature______________________________________ Date ____________________

Print name and title, if any, of person signing:

______________________________________________________________________

STATE OF ______________ COUNTY or JUDICIAL DISTRICT ________________

On this date the individual named above, in his/her stated capacity, personally appeared before me and

acknowledged that this instrument was signed as a free and voluntary act and deed for the uses and

purposes therein mentioned

___________________

_________________________________

DATE

Signature of NOTARY PUBLIC

AFFIX

NOTARY SEAL

Date Commission Expires _____________

IF REQUIRED

One ORIGINAL or one copy of the Satisfaction/Release must be sent to:

U.S. Coast Guard

National Vessel Documentation Center

792 T J Jackson Drive

Falling Waters, WV 25419

Satisfaction Or Release Of Mortgage, Claim Of Lien Or Preferred Mortgage Form