South Carolina Mortgage Form Page 3

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IN WITNESS WHEREOF, Mortgagor has caused this Mortgage to be executed under seal this _____ day of
________________________, 20____.
SIGNED, SEALED AND DELIVERED
IN THE PRESENCE OF:
MORTGAGOR:
Signature of individual Mortgagor
________________________
_________________________________________________________ (SEAL)
Witness #1
Type name: _________________________________________________
________________________
Signature block for entity Mortgagor
Witness #2
Type name of entity ______________________________________________
By: ______________________________________________________ (SEAL)
Signature of authorized signatory
Type name of authorized signatory:___________________________________
Its: ____________________________________________________________
(Type capacity of signatory)
STATE OF SOUTH CAROLINA
Acknowledgment for Individual Mortgagor
COUNTY OF ___________________
I, a Notary Public for South Carolina, do hereby certify that _______________, Mortgagor, personally appeared before me
this day and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal this the ________ day of _______________________, 20____.
______________________________________________________________
Notary Public for South Carolina
My Commission Expires:
_____________________
STATE OF SOUTH CAROLINA
Acknowledgment for Entity Mortgagor
COUNTY OF __________________
I, a Notary Public for South Carolina, do hereby certify that ____________________, Mortgagor, by
____________________ Its: ______________________________, personally appeared before me this day and
acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal this the ________ day of _______________________, 20____.
______________________________________________________________
Notary Public for South Carolina
My Commission Expires:
_____________________
SC Bar Form:_______
Last Revised: _______
This form is a basic form intended for use only by South Carolina licensed attorneys. Use by others may constitute the
unauthorized practice of law.

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