| This Mortgage Release made and entered into this day of between First State Bank party(s) of the first part, and the party(s) of the second part.
WHEREAS, on , , the party(s) of the second part, to secure the payment of $ to the party(s) of the first part, placed in lien certain real property described and referred to in mortgage book which instrument of writing is of record in Mortgage Book at Page , in the office of the County Court Clerk, County, State of Kentucky, and, WHEREAS, the indebtedness aforesaid having been satisfied in full, the lien upon the real property referred to above is now released and discharged and the written instrument referred to above is hereby declared null and void.
IN TESTIMONY WHEREOF, the party(s) of the first part has subscribed his/her name(s), the day and year first above written
| STATE OF KENTCKY
COUNTY OF BELL
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I, , a Notary Public, within and for the State and County aforesaid, do certify that the foregoing release from FIRST STATE BANK to this day produced before me in my State and County and was acknowledged and subscribed to by to be his/her act and deed in due form of law.
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