Mortgage Discharge form

A mortgage discharge form is used to discharge an obligation for which you previously obtained a mortgage. In other words, if you move away from your property or it is damaged in a natural disaster to the point where it is no longer habitable, you can apply for a discharge to be released from your financial obligation for the mortgage. Use this sample form to modify according to your needs. 

Questions for Mortgage Discharge form

1.

Mortgagor Name

The answer should be a text input.
2.

Mortgagee Name

The answer should be a text input.
3.

Date

The answer should be a date input.
4.

Place

The answer should be a single choice:
    5.

    Hereby certifies that the mortgage, executed by mortgagor, to mortgagee. The Liber paid in full and discharged, and that the property secured thereby has been released from the lien of such mortgage.

    The answer should be a single choice:
    1. I agree
    2. I disagree
    6.

    Witness name

    The answer should be a text input.
    7.

    Witness Contact

    The answer should be a phone number.
    8.

    Mortgagor Signature

    The answer should be a signature.
    9.

    Mortgagee Signature

    The answer should be a signature.
    10.

    Witness Signature

    The answer should be a signature.

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