DISCHARGE OF SECURITY INTEREST
FOR VALUE RECEIVED the undersigned does hereby
release and discharge
a certain security interest held by the undersigned against:
____________________________________
Dated the______ day of________________,200(X).
This document shall not constitute a discharge
of any obligation for which
the said security interest was granted to the undersigned.
Dated this______ day of_______________,200(x).
IN WITNESS WHEREOF the said company has hereto
affixed its corporate
seal, attested by the hands of its duly authorized officers, on the day and
year first above written.
COMPANY NAME:
Authorized Officer_______________________
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