Request Form For Full Reconveyance

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REQUEST FOR FULL RECONVEYANCE
To: ___________________________________________________________________________________, Trustee
The undersigned is the legal owner and holder of the Note or Notes for the total original sum of $_______________
and of all other indebtedness secured by Deed of Trust dated: ____________________________________, made by
______________________________________________________________________________________, Trustor,
to ____________________________________________________________________________________, Trustee,
and recorded on ______________ in Book/Reel ________, at Page/Image _________, Series Number ___________
of Official Records of ______________________________, County, State of California.
Said Note or Notes, together with all other indebtedness secured by said Deed of Trust, have been fully paid and
satisfied; and you are hereby requested and directed, upon payment to you of any sums owing to you under the terms
of said Deed of Trust, to cancel said Note or Notes above mentioned, and all other evidences of indebtedness
secured by said Deed of Trust delivered to you herewith, together with the said Deed of Trust, and to reconvey,
without warranty, to the parties designated by the terms of said Deed of Trust, all the estate now held by you under
the same.
After recording, mail reconveyance to: ______________________________________________________________
Address:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Dated: ___________________
________________________________________
________________________________________
________________________________________
________________________________________
STATE of ________________
COUNTY of ______________
On _________________________________ before me, the undersigned,
(This area for official notarial seal)
a Notary Public in and for said State personally appeared
__________________________________________________________
__________________________________________________________
__________________________________________________________
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity
upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature _______________________________________________
Name __________________________________________________
(typed or printed)

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